GENELLE MULL

FORT WAYNE, IN
NPI1891350054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004577A)
Enumeration Date2019-05-03
Last Update Date2019-05-03
Business Address
GENELLE MULL PTA
1717 MAPLECREST RD
FORT WAYNE, IN 46815-7656
Phone number: 877-712-7869
Mailing Address
GENELLE MULL PTA
21778 ROAD 17S
COLUMBUS GROVE, OH 45830-9286
Phone number: 419-204-9312
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