| NPI | 1740853290 |
|---|---|
| Other Name | SAMUEL MULLANEY |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY CP015253T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 13630) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2022-12-16 |