Organization
BOLANOS-MCMAHAN, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN MCMAHAN OTR/L (MGRM)
(561) 891-9148
Entity
Organization
Contact information
Practice address
401 E LAS OLAS BLVD STE 130-451, FORT LAUDERDALE, FL 33301-2210
(561) 891-9148
(954) 607-5852
Mailing address
401 E LAS OLAS BLVD STE 130-451, FORT LAUDERDALE, FL 33301-2210
(561) 891-9148
(954) 607-5852
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/03/2009
Last updated
07/16/2009
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