Individual
JILL RENAE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
4532 STEINBECK ST UNIT 107, AMES, IA 50014-8158
(515) 817-2255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004670
IA
Other
Enumeration date
03/08/2011
Last updated
04/17/2013
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