Individual
VICKIE PATRICIA MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR / CHT
Contact information
Practice address
920 STATE ST, MANITOWOC, WI 54220-4038
(920) 683-1900
Mailing address
920 STATE ST, MANITOWOC, WI 54220-4038
(920) 683-1900
Taxonomy
Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
1051100444
WI
225XH1200X
Hand Occupational Therapist
Primary
266-026
WI
225XN1300X
Neurorehabilitation Occupational Therapist
266-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40855800
—
WI
Enumeration date
08/30/2006
Last updated
11/06/2013
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