Candace Holly Mack, OTR/L
NPI #1114204849 in Winters, California
Provider Information
- NPI Number
- 1114204849
- Entity Type
- Individual
- Name
- Candace Holly Mack, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- OTR/L
- Enumeration Date
- Nov 9, 2011
- Last Updated
- Nov 9, 2011
Practice Location
- Address
- 428 MAIN ST
- City
- Winters
- State
- California
- ZIP Code
- 95694-1830
- Phone
- (530) 794-6083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Early Intervention Provider Agency |
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