Individual
MS. MISTY MAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
8064 SOUTH AVE, BOARDMAN, OH 44512-6153
(330) 726-3700
Mailing address
8064 SOUTH AVE, BOARDMAN, OH 44512-6153
(330) 726-3700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03998
OH
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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