Mahoney, Sandra

Mahoney, Sandra is an sole proprietor health care provider with primary practice located at 2257 Nuremberg Blvd , Punta Gorda FL 33983-2649. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mahoney, Sandra can be contacted via phone (941) 255-1891.

Contact Information

Primary practice address
2257 Nuremberg Blvd Punta Gorda FL 33983-2649
Phone: (941) 255-1891
Fax: (941) 255-1891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT13477 Florida

Profile Details

NPI number 1871589424
LBN Legal business name Mahoney, Sandra
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated May 20th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871589424 NPPES
Florida Other Y0365 BCBS

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