Individual
MR. RANDY W MCMULLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
23 CEDAR RIDGE DR, SKOWHEGAN, ME 04976-4160
(207) 474-9686
Mailing address
23 CEDAR RIDGE DR, SKOWHEGAN, ME 04976-4160
(207) 474-9686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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