Individual
CONNOR MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1980 TAMARACK RD, NEWARK, OH 43055-1363
(740) 788-9220
Mailing address
1980 TAMARACK RD, NEWARK, OH 43055-1363
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT018152
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0
—
OH
Enumeration date
06/19/2019
Last updated
06/19/2019
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