Individual
MRS. MARYBETH O'MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
70 KUKUK LN, KINGSTON, NY 12401-6943
(845) 336-2616
(845) 336-3302
Mailing address
70 KUKUK LN, KINGSTON, NY 12401-6943
(845) 336-2616
(845) 336-3302
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000524-1
NY
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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