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NPI Code Detail

MEDICARE: KAREN ANN MAHON PT

MEDICARE: KAREN ANN MAHON PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist8302MA

General Provider Information

NPI Number : 1346421336
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ANN MAHON PT
Provider Business Mailing Address
First Line : 101 VANDERBILT AVE
Second Line :
City : NORWOOD
State : MA
Zip : 02062-5011
Country : US
Telephone Number : 508-528-1286
Fax Number :
Provider Business Practice Location Address
First Line : 101 VANDERBILT AVE
Second Line :
City : NORWOOD
State : MA
Zip : 02062-5011
Country : US
Telephone Number : 508-528-1286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2007
Last Update Date : 04/11/2014

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