Individual
KYLE W MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
W175 N1117 STONEWOOD DRIVE, SUITE 100, GERMANTOWN, WI, WI 53022
(715) 579-9470
Mailing address
W175 N1117 STONEWOOD DRIVE, SUITE 100, GERMANTOWN, WI, WI 53022
(715) 579-9470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4609-26
WI
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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