Individual
AMANDA MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1450 CLAIBORNE AVE, SHREVEPORT, LA 71103-4204
(318) 813-2970
(318) 813-2981
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 813-2970
(318) 813-2981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06481
LA
Other
Enumeration date
06/16/2006
Last updated
02/29/2016
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