| NPI | 1518038173 |
|---|---|
| Former Name | ANGELA L MULLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 6649) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2006025641) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-12-17 |