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

Mark Egan, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1720437445

Mark Egan, COTA/L is an Occupational Therapy Assistant in Moore, South Carolina. Practices as a sole proprietor. Licensed in Illinois and South Carolina.

Licensed in
IL, SC
In the registry since
2016
Specialties on file
2
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

101 Wellington Dr
Moore, SC 29369-9332
Phone: (864) 237-3104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3420 (SC)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 057004212 (IL)

Record details

NPI number1720437445
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 3, 2016
Mailing address101 Wellington Dr, Moore, SC 29369-9332

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