Individual
CHELSEA MAHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1587 HOMECOURT, ALDEN, NY 14004-1227
(716) 697-8726
Mailing address
1587 HOMECOURT, ALDEN, NY 14004-1227
(716) 697-8726
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039559
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039559
PT LICENSE
NY
Enumeration date
02/23/2016
Last updated
02/23/2016
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