Individual
MR. TIMOTHY NEIL MULDOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
8585 S EASTERN AVE STE 100, LAS VEGAS, NV 89123-2818
(702) 798-8585
(702) 341-0109
Mailing address
601 E HAMPDEN AVE, STE 500, ENGLEWOOD, CO 80113-2771
(303) 774-7078
(303) 777-4563
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2205
NV
Other
Enumeration date
03/03/2014
Last updated
09/29/2021
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