# MR. DANIEL CHRISTOPHER MACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588965701
- **Gender:** Man
- **Credential:** O.T.R.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 03276 | MD | Yes |
| 225XE0001X | Environmental Modification Occupational Therapist | 03276 | MD | — |
| 225XG0600X | Gerontology Occupational Therapist | 03276 | MD | — |

## Other

- **Enumeration date:** 11/04/2010
- **Last updated:** 11/04/2010