Individual
TARA CATHERINE MULVANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T. R/L, CSI
Contact information
Practice address
2959 SHARPSBURG MCCULLUM RD, BUILDING C, SUITE C, NEWNAN, GA 30265-2297
(770) 683-0250
(770) 683-4250
Mailing address
2959 SHARPSBURG MCCULLUM RD, BUILDING C, SUITE C, NEWNAN, GA 30265-2297
(770) 683-0250
(770) 683-4250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003151
GA
Other
Enumeration date
10/24/2006
Last updated
07/09/2007
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