| NPI | 1982139648 |
|---|---|
| Former Name | ANN MARIE MULLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 17700) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 09411) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2023-11-29 |