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Individual
MICHAEL CRAIG MAHAN
Active
Individual
MICHAEL CRAIG MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2305211550
VA
225100000X
Physical Therapist
Primary
PTL.0018839
CO
225100000X
Physical Therapist
—
OR
Other
Enumeration date
09/28/2017
Last updated
01/31/2023
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