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NPI Code Detail

MEDICARE: MRS. BARBARA ANNE MAHONEY OTR

MEDICARE:  MRS. BARBARA ANNE MAHONEY  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT627ID
2225X00000XOccupational TherapistOT00001931WA

General Provider Information

NPI Number : 1245378785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA ANNE MAHONEY OTR
Provider Business Mailing Address
First Line : 1051 WINDSONG LN
Second Line :
City : MOSCOW
State : ID
Zip : 83843-7477
Country : US
Telephone Number : 208-892-0412
Fax Number :
Provider Business Practice Location Address
First Line : 225 E PALOUSE RIVER DR
Second Line :
City : MOSCOW
State : ID
Zip : 83843-8915
Country : US
Telephone Number : 208-883-6483
Fax Number : 208-883-6489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2007
Last Update Date : 06/14/2026

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Directions to “ MRS. BARBARA ANNE MAHONEY OTR” Practice Location

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