Individual
MS. KELLY MARIE MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
262 TOLLGATE RD, LANGHORNE, PA 19047-1377
(267) 757-4000
Mailing address
182 S CANAL ST, YARDLEY, PA 19067-1702
(267) 503-0240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
40QB00212600
NJ
225200000X
Physical Therapy Assistant
Primary
TE002445L
PA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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