Individual
HALIE ELLINGER MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
104 CELTIC CIR, CHAPEL HILL, NC 27516-4661
(336) 380-5763
Mailing address
201 S ELLIOTT RD APT 637, CHAPEL HILL, NC 27514-5979
(336) 380-5763
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
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