Individual
DENA KAYE MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3303 FERN VALLEY RD, LOUISVILLE, KY 40213-3529
(502) 962-5241
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001866
KY
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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