Individual
ALYSE MARIE MULVANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 WHITE BRIDGE RD, NASHVILLE, TN 37205-1473
(615) 353-6181
Mailing address
712 CARMEL AVE, MADISON, TN 37115-4110
(407) 712-5615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000006250
TN
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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