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Individual

MRS. JENNIFER M MCMAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
704 N DUPREE AVE, BROWNSVILLE, TN 38012-1707
(731) 772-3356
Mailing address
840 DAVIS RD, COVINGTON, TN 38019-8018

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
412261
TN

Other

Enumeration date
09/02/2010
Last updated
09/02/2010
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