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Individual

KAHLA MCMAHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 N DAVIS ST., FOUKE, AR 71837
(903) 792-0100
Mailing address
1500 B K PICKERING DR, TEXARKANA, TX 75501-0902

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A815
AR

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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