Individual
TIFFANY DAWN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
192 BACON CREEK RD, CORBIN, KY 40701-8639
(606) 526-1900
Mailing address
192 BACON CREEK RD, CORBIN, KY 40701-8639
(606) 526-1900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
135407
KY
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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