Individual
DR. ROBERT JASON MULLANEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1033 CAROLINE DR, RICHMOND, KY 40475-9597
(954) 870-0050
Mailing address
1033 CAROLINE DR, RICHMOND, KY 40475-9597
(954) 870-0050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
164306
KY
Other
Enumeration date
10/15/2016
Last updated
10/15/2016
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