Individual
SHAWN MAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
400 W HUNTINGTON DR, ARCADIA, CA 91007-3470
(626) 445-2421
Mailing address
333 CLARY AVE APT D, SAN GABRIEL, CA 91776-1362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4719
CA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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