Individual
JACOB MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L, OTD
Contact information
Practice address
13306 A ST, OMAHA, NE 68144-3660
(308) 390-8513
Mailing address
17741 EDNA ST, OMAHA, NE 68136-1998
(308) 390-8513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2031
NE
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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