Individual
CENTRI M MULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
198 CIRBY WAY STE 140, ROSEVILLE, CA 95678-6430
(916) 773-8282
Mailing address
3345 COTTAGE WAY APT 77, SACRAMENTO, CA 95825-1416
(443) 944-3677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6928
CA
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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