| NPI | 1952421448 |
|---|---|
| Former Name | KATHRYN MELISE MULLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT024789) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204832) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-04-30 |