| NPI | 1437938669 |
|---|---|
| Former Name | STELLA MAHONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0008368) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT020630) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2025-04-16 |