Individual
CLARICE MCLAIN MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
9843 LOQUAT DR, PENSACOLA, FL 32506-6117
(850) 455-6910
Mailing address
9843 LOQUAT DR, PENSACOLA, FL 32506-6117
(850) 497-2595
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18847
FL
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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