Individual
VACERA M MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
36048 WOODINGHAM ST, CLINTON TOWNSHIP, MI 48035-1680
(586) 237-7569
Mailing address
36048 WOODINGHAM ST, CLINTON TOWNSHIP, MI 48035-1680
(586) 237-7569
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
5202007393
MI
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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