Individual
MARY JANE MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1127 PERSINGER RD SW, ROANOKE, VA 24015-3829
(540) 343-1691
(540) 343-1696
Mailing address
2838 ARCHER ST, SALEM, VA 24153-6512
(540) 389-6258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000933
VA
225200000X
Physical Therapy Assistant
PTA883
FL
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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