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Individual
LIZABETH MAHON
Active
Individual
LIZABETH MAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TE1000887
PA
2255A2300X
Athletic Trainer
Primary
RT000641A
PA
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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