Individual
MRS. ELIZABETH BENTLEY MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
272 SUMMIT RIDGE DR, LAWRENCEVILLE, GA 30046-6090
(678) 777-2510
Mailing address
272 SUMMIT RIDGE DR, LAWRENCEVILLE, GA 30046-6090
(678) 777-2510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT000590
GA
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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