Individual
AMY H MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
6301 UNIVERSITY COMMONS, SUITE 430, SOUTH BEND, IN 46635-1571
(574) 968-2851
(574) 968-2855
Mailing address
6301 UNIVERSITY COMMONS, SUITE 230, SOUTH BEND, IN 46635-1571
(574) 251-2100
(574) 251-2150
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004017A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200247530
—
IN
Enumeration date
07/07/2006
Last updated
01/05/2016
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