Individual
MS. CONNIE JEAN MULLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9136 GOSHEN PARK PL, GAITHERSBURG, MD 20882-1320
(240) 683-5437
Mailing address
9136 GOSHEN PARK PL, GAITHERSBURG, MD 20882-1320
(240) 683-5437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02097
MD
Other
Enumeration date
08/22/2010
Last updated
08/22/2010
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