Mark Joseph Covault, MS OTR/L

Individual provider Active NPI Occupational Therapist · Camarillo, CA

NPI 1457784183 · NPPES record last updated Aug 16, 2013

Key facts

NPI
1457784183
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT5186 (CA)
Practice address
6000 Santa Rosa Rd
Camarillo, CA 93012-7101
Phone
(805) 388-8086
Fax
(805) 383-6700
NPI assigned
Aug 16, 2013
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5186CAMDOccupational Therapy Assistant
OT5186CAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT5186 CA Yes

Addresses

Primary practice location

6000 Santa Rosa Rd
Camarillo, CA 93012-7101

Mailing address

2222 Sullivan TRL
Easton, PA 18040-7958
Phone (800) 944-9782

Other providers in Camarillo, CA

All providers in Camarillo, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.