Shelly Mack
Shelly Mack is a Pediatric Occupational Therapist in Fullerton, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
3513 Teton Dr Apt SteFullerton, CA 92835-1633
Phone: (714) 335-0644
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Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X · Licence 4322 (CA) |
|---|
Record details
| NPI number | 1730949215 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 20, 2024 |
| Last updated in NPPES | March 20, 2024 |
| Certification date | March 20, 2024 |
| Mailing address | 3513 Teton Dr Apt Suite, Fullerton, CA 92835-1633 |
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