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Individual

MRS. BRENDA LEE MAHON

Active
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Individual

MRS. BRENDA LEE MAHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD/OTR

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
0193350
NY
225XG0600X
Gerontology Occupational Therapist
Primary
46TR00529000
NJ
225XG0600X
Gerontology Occupational Therapist
OC011466
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46TR00529000
PROFESSIONAL LICENSE
NJ
Enumeration date
07/26/2007
Last updated
03/10/2025
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