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Individual
MR. DANIEL CHRISTOPHER MACK
Active
Individual
MR. DANIEL CHRISTOPHER MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03276
MD
225XE0001X
Environmental Modification Occupational Therapist
03276
MD
225XG0600X
Gerontology Occupational Therapist
03276
MD
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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