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Individual

JANET LYNN MAHONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4111 OKEMOS RD, SUITE 102, OKEMOS, MI 48864-3235
(517) 896-8551
Mailing address
1334 MARBLE RD, EAST LANSING, MI 48823-2833
(517) 896-8551
(517) 337-1778

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L538383
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5501001955
PHYSICAL THERAPY LICENSE
MI
01
650C313690
BCBS
MI
Enumeration date
05/09/2007
Last updated
09/17/2009
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