Individual
DENISE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(513) 737-2054
Mailing address
4662 MOSELLE DR, LIBERTY TWP, OH 45011-9597
(513) 317-5998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
05343
OH
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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