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Individual

MR. TIMOTHY JOHN MULLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
25 KINDERHOOK STREET, CHATHAM, NY 12037
(518) 392-2160
Mailing address
61 DUNHAM HOLLOW ROAD, EAST NASSAU, NY 12062
(518) 766-6457

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
013056-1
NY

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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