Individual
MR. KEVIN MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914-5375
(401) 330-1437
(401) 330-1447
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
(401) 330-1437
(401) 330-1447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02317
RI
Other
Enumeration date
09/01/2010
Last updated
02/15/2019
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