NPI 1053527846

Carol Marie Mack, DPT

Practitioner Prevention Professional University Heights, OH

Practice location

Address: 3835 Claridge Oval, University Heights, OH 44118-4739
Phone: (440) 759-4828

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence PT.011577 (OH)

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Registry record

NPI: 1053527846
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2007
Record last updated: 27 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.