Individual
MAUREEN MAHONEY-BARRACLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR-L, MS
Contact information
Practice address
116 ASPEN DR, LOS ALAMOS, NM 87544-1564
(505) 412-2247
Mailing address
116 ASPEN DR, LOS ALAMOS, NM 87544-1564
(505) 412-2247
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3359
NM
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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