Individual
JAMIE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
501 S COLTRANE RD SUITE A, EDMOND, OK 73034
(580) 318-9415
Mailing address
424 RIDGEWOOD, NORTH ENID, OK 73701
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2289
OK
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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