Individual
ALI MAHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 SUWANEE DAM RD STE 455, SUWANEE, GA 30024-8706
(678) 714-6708
Mailing address
140 OVERLOOK PARK LN, LAWRENCEVILLE, GA 30043-7356
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT005769
GA
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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