Jeffrey Brian Mahan, P.T. Valid NPI

Individual provider · Physical Therapist · Watertown, WI

NPI

1982878948

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

4686-024 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2008-04-21

Last updated

2008-04-21