Individual
RAQUEL J MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2818 GRAND VISTA CIR, COLORADO SPRINGS, CO 80904-5242
(719) 632-7000
Mailing address
2818 GRAND VISTA CIR, COLORADO SPRINGS, CO 80904-5242
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0004175
CO
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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