Individual
MS. MARIE R MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13036 NYS 9N, JAY, NY 12941
(518) 586-1823
Mailing address
PO BOX 105, JAY, NY 12941-0105
(518) 586-1823
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
019398
NY
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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