Individual
KEELY LYNN MULCAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6808 JULIET DR, AVON, IN 46123-8455
(317) 272-3578
Mailing address
6808 JULIET DR, AVON, IN 46123-8455
(317) 272-3578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8893
CA
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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