Individual
EMILY GRACE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3660 GUION RD, INDIANAPOLIS, IN 46222-1697
(317) 329-7017
Mailing address
5501 WINTHROP AVE, INDIANAPOLIS, IN 46220-3248
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31008029A
IN
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
07/08/2024
Last updated
09/19/2024
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