Mahaney, Krista Marie
Mahaney, Krista Marie is an individual health care provider with primary practice located at 1450 Furnace Ave , Glen Burnie MD 21060-7002. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mahaney, Krista Marie can be contacted via phone (410) 222-6911.Contact Information
Primary practice address
1450 Furnace Ave
Glen Burnie MD 21060-7002
Phone: (410) 222-6911
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 19318 | Maryland |
Profile Details
| NPI number | 1639209513 |
|---|---|
| LBN Legal business name | Mahaney, Krista Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639209513 | NPPES |
| Maryland | MEDICAID | 5553 |
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