Individual
JOAN B. MULLANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.T
Contact information
Practice address
384 MERROW RD STE B, TOLLAND, CT 06084-3971
(860) 875-4816
(860) 875-2053
Mailing address
38 STONEHEDGE DR, TOLLAND, CT 06084-2328
(860) 875-8998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003038
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080003038CT01
BLUE CROSS PROVIDER NUMBE
CT
01
—
552280
AETNA GROUP NUMBER
CT
01
—
A685551
OXFORD GROUP NUMBER
CT
01
—
OV1704
HEALTHNET GROUP NUMBER
CT
Enumeration date
12/15/2006
Last updated
07/08/2007
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