Mrs. Brenda Lee Mahon
Occupational Therapist Occupational Therapist - Gerontology
197 Cahill Cross Rd
West Milford
, New Jersey 07480-1947
Mrs. Brenda Lee Mahon
Occupational Therapist Occupational Therapist - Gerontology
197 Cahill Cross Rd
West Milford
, New Jersey 07480-1947
(201) 786-9505
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Brenda Lee Mahon
- 197 Cahill Cross Rd
- West Milford, NJ
- Zip : 07480-1947
- Fax : (201) 786-9505
- Phone : (973) 506-7730
Second Address
- Mrs. Brenda Lee Mahon
- 197 Cahill Cross Rd
- West Milford, NJ
- Zip : 07480-1947
- Fax : (201) 786-9505
- Phone : (973) 506-7730
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | ||
| N | 225XG0600X | Occupational Therapist - Gerontology | 0193350 | NY |
| Y | 225XG0600X | Occupational Therapist - Gerontology | 46TR00529000 | NJ |
| N | 225XG0600X | Occupational Therapist - Gerontology | OC011466 | PA |
National Provider Identifier
| NPI | 1871783951 |
|---|---|
| Provider Name | Mrs. Brenda Lee Mahon |
| First Address | West Milford, NJ 07480-1947 |
| Second Address | West Milford, NJ 07480-1947 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2007 |
| Last Update Date | 01/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 46TR00529000 | PROFESSIONAL LICENSE (01) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.