DOUGLAS ALBERT MULLIN

ST AUGUSTINE, FL
NPI1134811821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  8656)
Enumeration Date2023-05-22
Last Update Date2023-05-22
Business Address
DOUGLAS ALBERT MULLIN PTA
1101 PLANTATION ISLAND DR S
ST AUGUSTINE, FL 32080-6191
Phone number: 904-540-6114
Mailing Address
DOUGLAS ALBERT MULLIN PTA
1692 LEON ST
ST AUGUSTINE, FL 32080-5510
Phone number: 904-540-6114
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