Individual
MR. PATRICK J MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2916 MISSION BEACH HEIGHTS RD, TULALIP, WA 98271-9729
(360) 653-5287
Mailing address
2916 MISSIONBEACH HEIGHTS RD, TULALIP, WA 98271
(360) 653-5287
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0001365
WA
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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