Individual
CARMEN M. MULHERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4125 IRONBOUND RD, SUITE 100, WILLIAMSBURG, VA 23188-2666
(757) 220-8383
(757) 253-7833
Mailing address
771 PILOT HOUSE DR, SUITE A, NEWPORT NEWS, VA 23606-1990
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207462
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487900239
MEDICAID QMB
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
Enumeration date
07/31/2012
Last updated
12/13/2017
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