Individual provider · Type 1 NPI

Mirielvy Marina Mahan, OTR/L

Occupational Therapist · Fresno, CA

NPI number 1376040949 Active

Practice location

2505 W Shaw Ave Ste 101
Fresno, CA 93711-3334

Call (559) 228-9100 Map

Mailing address

1150 E Richard Smith Ave
Tulare, CA 93274-7392

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT17808 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1376040949

Mirielvy Marina Mahan, OTR/L's National Provider Identifier is 1376040949, issued on Apr 10, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fresno, CA. The record was last updated on Apr 10, 2018.