DERRICK MULLINS

HOLLAND, MI
NPI1598194946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502003389)
Enumeration Date2013-11-06
Last Update Date2013-11-06
Business Address
-- DERRICK MULLINS
1221 E 16TH ST
HOLLAND, MI 49423-9127
Phone number: 616-396-7095
Mailing Address
-- DERRICK MULLINS
10655 RILEY ST
ZEELAND, MI 49464-6856
Phone number: 313-333-6355