Individual
HOLLY FAE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(402) 641-0919
Mailing address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(402) 641-0919
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
281069
OR
Other
Enumeration date
02/22/2011
Last updated
07/27/2016
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