Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mirielvy Marina Mahan, OTR/L

Individual provider Occupational Therapist · NPI 1376040949

Mirielvy Marina Mahan, OTR/L is an Occupational Therapist in Fresno, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2505 W Shaw Ave Ste 101
Fresno, CA 93711-3334
Phone: (559) 228-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT17808 (CA)

Record details

NPI number1376040949
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESApril 10, 2018

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