Individual
GINA M MULANTHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
98 BOSWORTH ST, SAN FRANCISCO, CA 94112-1002
(415) 551-0975
Mailing address
98 BOSWORTH ST, SAN FRANCISCO, CA 94112-1002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
225X00000X
Occupational Therapist
21697
CA
Other
Enumeration date
01/19/2021
Last updated
10/13/2022
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