Individual
HALIE ELLINGER MCMAHON
Active
Individual
HALIE ELLINGER MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13594
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13594
NORTH CAROLINA OCCUPATIONAL THERAPY LICENSE
NC
01
—
443787
OCCUPATIONAL THERAPY CERTIFICATION #
—
Enumeration date
10/09/2020
Last updated
06/07/2022
Update your record
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