Individual
DREW MULLENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 S NEIL ST, CHAMPAIGN, IL 61820-5475
(217) 649-0504
Mailing address
602 S NEIL ST, CHAMPAIGN, IL 61820-5475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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