IndividualActive
Vacera Mack, COTA
NPI 1003483165 · Feeding, Eating & Swallowing Occupational Therapy Assistant · Clinton Township, MI
Provider details
- NPI number
- 1003483165
- Entity type
- Individual
- Primary specialty
- Feeding, Eating & Swallowing Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5202007393 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
36048 Woodingham St
Clinton Township, MI 48035-1680
Phone: (586) 237-7569
Approximate (ZIP-level) locationGet directions
Mailing address
36048 Woodingham St
Clinton Township, MI 48035-1680
Registry dates
- Enumerated
- 2021-06-08
- Last updated
- 2021-06-08
- Certified
- 2021-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.