Individual
JENNIFER LYNN MAHOVLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1995 E CORNELIUS HARNETT BLVD, LILLINGTON, NC 27546-8276
(910) 814-0880
Mailing address
1995 E CORNELIUS HARNETT BLVD, LILLINGTON, NC 27546-8276
(910) 814-0880
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5780
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1400R
BCBS
NC
01
—
183109
MEDCOST
—
01
—
6400040
UNITED HEALTHCARE
—
05
—
7301843
—
NC
01
—
7981727
AETNA
—
05
—
8300041K
—
NC
Enumeration date
12/12/2006
Last updated
08/19/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us