Dywana Carolyn Mack in Carson - Physical Therapy Assistant
Dywana Carolyn Mack - NPI 1538375167
Dywana Carolyn Mack is a Physical Therapy Assistant in Carson, California. Dywana Carolyn Mack practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Dywana Carolyn Mack is 1538375167. The last update date is 2007-07-08.
Dywana Carolyn Mack's current location address is 1 Civic Plaza Dr, Carson, California. You can contact this provider via phone number 3105494500. The mailing address for Dywana Carolyn Mack is 1 Civic Plaza Dr, Carson, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dywana Carolyn Mack |
|---|---|
| Address | 1 Civic Plaza Dr, Carson, California |
| Phone Number | 3105494500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1538375167 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Civic Plaza Dr |
|---|---|
| City | Carson |
| State | California (CA) |
| Post Code | 907452243 |
| Phone Number | 3105494500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | AT 3079 |
|
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
|
Post Comment/ Review Below
What is the Dywana Carolyn Mack's 1538375167?
The Dywana Carolyn Mack's NPI (National Provider Identifier) Number is 1538375167. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Dywana Carolyn Mack is located?
The Dywana Carolyn Mack is situated at the following address: 1 Civic Plaza Dr, Carson, CA, 907452243.
What is the Dywana Carolyn Mack's area of specialization and corresponding taxonomy classification?
The Dywana Carolyn Mack's specialty field is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their specialties.
When did the Dywana Carolyn Mack receive its 1538375167?
The Dywana Carolyn Mack was issued its 1538375167 on 2007-05-14, which is the date when the organization was assigned this unique identifier.
When was the information related to Dywana Carolyn Mack most recently updated or refreshed?
The details pertaining to the Dywana Carolyn Mack, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.