Individual
ALEXIS ANN MULLANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7985 KNIGHT RD, GAINESVILLE, GA 30506-6427
(678) 770-9379
Mailing address
3015 GARDNER DRIVE, ALPHARETTA, GA 30009
(678) 770-9379
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004698
GA
Other
Enumeration date
04/29/2009
Last updated
05/05/2009
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