Individual
MARY M. MCALONIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
418 FLOYDE ST, MCCALL, ID 83638-4508
(208) 634-2112
Mailing address
PO BOX 2926, MCCALL, ID 83638-2926
(518) 813-1578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
006582-01
NY
225X00000X
Occupational Therapist
Primary
OT-391
ID
Other
Enumeration date
11/26/2012
Last updated
01/09/2021
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