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1720023773
AMANDA MAHONEY
SHREVEPORT, LA
NPI
1720023773
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Former Name
AMANDA THOMPSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 06481)
Enumeration Date
2006-06-16
Last Update Date
2016-02-29
Business Address
-- AMANDA MAHONEY DPT
1450 CLAIBORNE AVE
SHREVEPORT, LA 71103-4204
Phone number: 318-813-2970
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Mailing Address
-- AMANDA MAHONEY DPT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2970
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