Individual
JOY CHERYL MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1890 WHISPERING OAKS CIR, WEST MELBOURNE, FL 32934
(321) 258-9189
Mailing address
1890 WHISPERING OAKS CIR, MELBOURNE, FL 32934-8167
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA9872
COTA
FL
Enumeration date
08/26/2009
Last updated
08/26/2009
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