Individual
DARCI MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
216 SUNSET PL, NEILLSVILLE, WI 54456-1706
(763) 689-5385
Mailing address
501 E 2ND ST, NEILLSVILLE, WI 54456-2014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1587
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411G1MA
BCBS
MN
05
—
41810700
—
WI
01
—
6406050
MEDICA
MN
01
—
HP55737
HP55737
MN
Enumeration date
09/28/2006
Last updated
05/19/2008
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