Individual provider · Type 1 NPI

Dywana Carolyn Mack, PTA

Physical Therapy Assistant · Carson, CA

NPI number 1538375167 Active

Practice location

1 Civic Plaza Dr, Suite 625
Carson, CA 90745-2243

Call (310) 549-4500 Map

Mailing address

23357 Balmoral Ln
West Hills, CA 91307-1431

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XAT 3079 (CA)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1538375167

Dywana Carolyn Mack, PTA's National Provider Identifier is 1538375167, issued on May 14, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Carson, CA. The record was last updated on Jul 8, 2007.