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

Mrs. Dywana Carolyn Mack, PTA

Individual provider Physical Therapy Assistant · NPI 1538375167

Mrs. Dywana Carolyn Mack, PTA is a Physical Therapy Assistant in Carson, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1 Civic Plaza Dr Ste 625
Carson, CA 90745-2243
Phone: (310) 549-4500
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT 3079 (CA)

Record details

NPI number1538375167
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESJuly 8, 2007

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