Individual
JOSEPH MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11909 MIRACLE HILLS DR, OMAHA, NE 68154-4408
(402) 431-0011
Mailing address
1220 S 157TH CT APT 104, OMAHA, NE 68130-4903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1566
NE
Other
Enumeration date
07/09/2017
Last updated
07/09/2017
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