Individual
MRS. MANDI J FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
44 GRAMERCY PARK N, NEW YORK, NY 10010-6326
(630) 770-9510
(630) 770-9510
Mailing address
44 GRAMERCY PARK N, NEW YORK, NY 10010-6326
(630) 770-9510
(479) 289-5129
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056006980
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR2510
ARKANSAS STATE MED BOARD
AR
Enumeration date
10/31/2006
Last updated
02/23/2026
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