Mark Egan, COTA/L

NPI #1720437445 in Moore, South Carolina

Provider Information

NPI Number
1720437445
Entity Type
Individual
Name
Mark Egan, COTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Jun 3, 2016
Last Updated
Jun 3, 2016

Practice Location

Address
101 WELLINGTON DR
City
Moore
ZIP Code
29369-9332
Phone
(864) 237-3104

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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