Provider Demographics
NPI:1285946053
Name:MAHONSKI, KARLA M (OT)
Entity type:Individual
Prefix:MISS
First Name:KARLA
Middle Name:M
Last Name:MAHONSKI
Suffix:
Gender:
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9004 KRESTRIDGE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-7548
Mailing Address - Country:US
Mailing Address - Phone:704-762-0431
Mailing Address - Fax:
Practice Address - Street 1:16820 MACANTHRA DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4879
Practice Address - Country:US
Practice Address - Phone:570-419-9926
Practice Address - Fax:704-631-4574
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6843225X00000X
NC7240225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7200262Medicaid
NC7302259Medicaid