Individual
MEGAN ANN MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MHA
Contact information
Practice address
63 RIVER OAKS CIR, BLUFFTON, SC 29910-8203
(843) 837-2133
Mailing address
63 RIVER OAKS CIR, BLUFFTON, SC 29910-8203
(843) 837-2133
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2875
SC
Other
Enumeration date
08/08/2010
Last updated
08/08/2010
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