Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | ||
N | 225XG0600X | Occupational Therapist - Gerontology |
NPI | 1649396656 |
---|---|
Provider Name | Janet L Mahoney |
First Address | Hampstead, NH 03841-5116 |
Second Address | Amesbury, MA 01913-2123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 17/10/2018 |