| NPI | 1801101076 |
|---|---|
| Former Name | ANDREA MULLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 114888) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00500800) |
| 225X00000X Occupational Therapist (Licence: PA OC010990) | |
| 225X00000X Occupational Therapist (Licence: NY 015420-1) | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2013-03-12 |