Individual
ELAINA MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 N CLINTON ST, FORT WAYNE, IN 46805-1918
(260) 483-2100
Mailing address
10036 DONALD AVE, LEO, IN 46765-9505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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