Individual
MRS. BARBARA ANNE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
225 E PALOUSE RIVER DR, MOSCOW, ID 83843-8915
(208) 883-6483
(208) 883-6489
Mailing address
1051 WINDSONG LN, MOSCOW, ID 83843-7477
(208) 892-0412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT00001931
WA
225X00000X
Occupational Therapist
Primary
OT627
ID
Other
Enumeration date
02/04/2007
Last updated
07/08/2007
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