Individual provider · Type 1 NPI

Susan Marie Mahoney

Pediatric Physical Therapist · Watertown, NY

NPI number 1003191628 Active

Practice location

1635 Ohio St
Watertown, NY 13601-3032

Call (315) 786-7285 Map

Mailing address

28273 Rockledge Dr
Chaumont, NY 13622-0533

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X033802-1 (NY)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1003191628

Susan Marie Mahoney's National Provider Identifier is 1003191628, issued on Oct 14, 2011. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Watertown, NY. The record was last updated on Oct 14, 2011.