Individual
EDWARD C MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1501 KINGS HWY, SCHOOL OF ALLIED HEALTH PROFESSIONS, SHREVEPORT, LA 71103-4228
(318) 675-5000
Mailing address
1501 KINGS HWY, SCHOOL OF ALLIED HEALTH PROFESSIONS, SHREVEPORT, LA 71103-4228
(318) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05126
LA
Other
Enumeration date
09/13/2007
Last updated
11/27/2016
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