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1780221150
DENISE MAHAN
CARMEL, IN
NPI
1780221150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH 05343)
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
DENISE MAHAN PTA
118 MEDICAL DR
CARMEL, IN 46032-3323
Phone number: 513-737-2054
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Mailing Address
DENISE MAHAN PTA
4662 MOSELLE DR
LIBERTY TWP, OH 45011-9597
Phone number: 513-317-5998
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