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Contact Information

MACKENZIE CARCAMO, COTA/L
30252 TOMAS STE 100
RANCHO SANTA MARGARITA, CA92688-2181
 Phone: 949-459-1658
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MACKENZIE CARCAMO · (Female)

NPI # 1710323472
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 05/21/2013
Last updated 07/20/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 2389
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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