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Individual

MRS. EVA J MAHONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
4200 REVERE CIR, NEW PORT RICHEY, FL 34653-6287
(727) 372-7804
Mailing address
4200 REVERE CIR, NEW PORT RICHEY, FL 34653-6287
(727) 372-7804

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
81922
FL

Other

Enumeration date
01/18/2008
Last updated
01/18/2008
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