Doctor Name: | PAULINE A MAHONEY |
NPI Number: | 1023027588 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5360 |
Business Practice Address: | 18404 N Tatum Blvd Suite 200 Phoenix, AZ - 850321510 |
Business Phone Number: | 6024048012 |
Business Fax Number: | 6235464480 |
Mailing Address: | Po Box 30216, PHOENIX |
State: | AZ |
Postal Code: | 850460216 |
Phone Number: | 6024048012 |
Fax Number: | 6024047195 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 10/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5360 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |