Individual
MINDY S MULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3910 TEAYS VALLEY RD, HURRICANE, WV 25526-9756
(304) 757-7293
(304) 757-0574
Mailing address
38 OAK RDG, BUFFALO, WV 25033-9416
(307) 937-2969
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000200
WV
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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