Mahon, Brenda Lee
Mahon, Brenda Lee is an individual health care provider with primary practice located at 350 Clyde Morris Blvd , Ormond Beach FL 32174-5993. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology is her primary health care specialty. Mahon, Brenda Lee can be contacted via phone (386) 868-0505.Contact Information
Primary practice address
350 Clyde Morris Blvd
Ormond Beach FL 32174-5993
Phone: (386) 868-0505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | 0193350 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | OC011466 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | 46TR00529000 | New Jersey |
Profile Details
| NPI number | 1871783951 |
|---|---|
| LBN Legal business name | Mahon, Brenda Lee |
| Credentials | OTD/OTR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Mar 10th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871783951 | NPPES |
| New Jersey | Other | 46TR00529000 | PROFESSIONAL LICENSE |
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