Brittney Mahoney, OT | |
711 Hall St, Wiggins, MS 39577-2105 | |
(601) 928-5511 | |
(601) 928-6110 |
Full Name | Brittney Mahoney |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 711 Hall St, Wiggins, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639893696 | NPI | - | NPPES |
OT3967 | Other | MS | OT LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT3967 (Mississippi) | Primary |
Provider Name | Performance Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851427132 PECOS PAC ID: 7012971047 Enrollment ID: O20041118000549 |
Mailing Address | Practice Location Address |
---|---|
Brittney Mahoney, OT 921 W Beacon St, Philadelphia, MS 39350-3229 Ph: (601) 650-0002 | Brittney Mahoney, OT 711 Hall St, Wiggins, MS 39577-2105 Ph: (601) 928-5511 |
Candace Kemp, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 Fax: 601-928-6731 | |
Devon D Hand, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Simpson St, Wiggins, MS 39577 Phone: 601-528-1634 | |
Taylor Nicole Lusk, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1436 Central Ave E, Wiggins, MS 39577 Phone: 601-928-1889 | |
Mrs. Carly Anne Nichols, OTD OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1601 Central Ave W, Wiggins, MS 39577 Phone: 601-716-3196 Fax: 601-974-9919 | |
Kelsea Rodriguez, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1601 Central Ave W, Wiggins, MS 39577 Phone: 601-716-3196 | |
Ashton Hermetz Kramer, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 |