Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK EGAN, COTA/L
Active Sole ProprietorMARK EGAN, COTA/L is a Occupational Therapy Assistant healthcare provider located in MOORE, South Carolina. NPI 1720437445 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MOORE, SC
Registration Details
- NPI Number
- 1720437445
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 3, 2016 (10.192233640879 yrs)
- Last Updated
- Jun 3, 2016
- Licenses
-
3420 (SC)057004212 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 WELLINGTON DRMOORE, SC, 293699332Browse SC providers · Browse ZIP 29369
- Phone
- 8642373104
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
Other Occupational Therapy Assistant Providers in MOORE, SC
| Name | Credential | NPI |
|---|---|---|
| KATIE PRUIKSMA | COTA/L | 1619420114 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.