Individual
MARY ANN MULLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1090 S HWY 89, JACKSON, WY 83001-8511
(307) 733-5577
Mailing address
707 FATHOM DR APT 208, SAN MATEO, CA 94404-1066
(858) 722-8187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32381
CA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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