Individual
DIANE MARION MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2001007196
MO
225100000X
Physical Therapist
PT008345
GA
225100000X
Physical Therapist
PT32141
CA
Other
Enumeration date
01/29/2007
Last updated
09/11/2025
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