Organization
MACK OCCUPATIONAL THERAPY, LLC
Active
Organization
MACK OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA GONZALES MACK MS OTR/L (OCCUPATIONAL THERAPIST)
(336) 817-4278
Entity
Organization
Contact information
Practice address
1213 LLEWELLYN RD, MOUNT PLEASANT, SC 29464-3816
(336) 817-4278
Mailing address
1213 LLEWELLYN RD, MOUNT PLEASANT, SC 29464-3816
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3730
SC
Other
Enumeration date
06/14/2012
Last updated
06/26/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up