Mrs. Susan Marie Mahoney
Physical Therapist - Pediatrics
1635 Ohio St
Watertown
, New York 13601-3032
Mrs. Susan Marie Mahoney
Physical Therapist - Pediatrics
1635 Ohio St
Watertown
, New York 13601-3032
(781) 581-1852
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Susan Marie Mahoney
- 28273 Rockledge Dr
- Chaumont, NY
- Zip : 13622-0533
- Phone : (781) 581-1852
Second Address
- Mrs. Susan Marie Mahoney
- 1635 Ohio St
- Watertown, NY
- Zip : 13601-3032
- Phone : (315) 786-7285
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 033802-1 | NY |
National Provider Identifier
| NPI | 1003191628 |
|---|---|
| Provider Name | Mrs. Susan Marie Mahoney |
| First Address | Chaumont, NY 13622-0533 |
| Second Address | Watertown, NY 13601-3032 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2011 |
| Last Update Date | 14/10/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.