NPI 1215634936
Shawn Mac, COTAL
Practice location
- Address
- 400 W Huntington Dr, Arcadia, CA 91007-3470
- Phone
- (626) 445-2421
- Mailing address
- 333 Clary Ave APT D, San Gabriel, CA 91776-1362
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1215634936
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Feb 2023
- Record last updated
- 13 Feb 2023
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.