Individual
KRISTA JOY MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
1887 MALVERN ST, LAUDERDALE, MN 55113-5131
(715) 220-5615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105050
MN
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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