Individual
CARYN MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3703 W LAKE AVE, GLENVIEW, IL 60026-1223
(847) 904-5056
Mailing address
3703 W LAKE AVE, GLENVIEW, IL 60026-1223
(847) 904-5056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT001855
KY
225100000X
Physical Therapist
Primary
PT001855
KY
Other
Enumeration date
04/03/2007
Last updated
07/16/2015
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