| NPI | 1578681219 |
|---|---|
| Other Name | MARY COWLES MCMAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: VA 2306000933) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA883) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |