Individual
STACEY MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, ATP
Contact information
Practice address
431 9TH ST NW, HICKORY, NC 28601-3523
(828) 238-2130
Mailing address
431 9TH ST NW, HICKORY, NC 28601-3523
(828) 238-2130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2547
NC
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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