Individual
MRS. AMY NICOLE MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1686 EISENHOWER RD, DE PERE, WI 54115-8145
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4514
WI
Other
Enumeration date
02/19/2007
Last updated
07/15/2021
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