Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Candace Holly Mack, OTR/L

Individual provider Specialist · NPI 1114204849

Candace Holly Mack, OTR/L is a Specialist in Winters, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

428 Main St
Winters, CA 95694-1830
Phone: (530) 794-6083
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 12045 (CA)
Early Intervention Provider Agency Taxonomy 252Y00000X · Licence 12045 (CA)

Record details

NPI number1114204849
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedNovember 9, 2011
Last updated in NPPESNovember 9, 2011