Individual
ANGELA MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1215 ALICE DR, SUMTER, SC 29150-1905
(803) 774-5201
(803) 774-5211
Mailing address
1215 ALICE DR, SUMTER, SC 29150-1905
(803) 774-5201
(803) 774-5211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3380
SC
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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