| Ms Wanda J Mahoney, OT | |
| 4444 Forest Park Ave, Dept Occupational Therapy, Ste 2210, Saint Louis, MO 63108-2212 | |
| (314) 286-1669 | |
| (314) 627-7219 | 
| Full Name | Ms Wanda J Mahoney | 
|---|---|
| Gender | Female | 
| Speciality | Occupational Therapist | 
| Location | 4444 Forest Park Ave, Saint Louis, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1174722193 | NPI | - | NPPES | 
| 470139858 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2018040835 (Missouri) | Primary | 
| Provider Name | Washington University | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1598705923 PECOS PAC ID: 9830008770 Enrollment ID: O20041214001165 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Wanda J Mahoney, OT Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 286-1669 | Ms Wanda J Mahoney, OT 4444 Forest Park Ave, Dept Occupational Therapy, Ste 2210, Saint Louis, MO 63108-2212 Ph: (314) 286-1669 | 
| Michelle Lauren Chambers, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6022 S Lindbergh Blvd Ste 100, Saint Louis, MO 63123 Phone: 314-845-7751 Fax: 314-845-7752 | |
| Miss Kaitlin Marie Chilman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Magnolia Ave, Saint Louis, MO 63110 Phone: 618-841-7444 | |
| Hannah Florence,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4471 Olive St, Saint Louis, MO 63108 Phone: 314-531-0982 | |
| Jennifer Renee Hemmings,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Partridge Ave, Saint Louis, MO 63130 Phone: 202-531-7306 | |
| Christina Eddins, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-3000 | |
| Emily Ruyle,  Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2718 Sutton Blvd, Saint Louis, MO 63143 Phone: 314-246-0751 Fax: 314-754-9926 | |
| Kathleen Sayler,  Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10950 Coral Ridge Dr, Saint Louis, MO 63123 Phone: 314-724-3770 |