Individual
BRENT MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2327 HUNTINGTON DR, SAN MARINO, CA 91108-2642
(626) 395-0884
(626) 395-0884
Mailing address
615 S CITRUS ST, WEST COVINA, CA 91791-2844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293789
CA
Other
Enumeration date
10/24/2017
Last updated
12/22/2023
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