Individual
CONNOR DANIEL MULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2005 E GREENVILLE ST, SUITE 119, ANDERSON, SC 29621-1575
(864) 964-0505
(864) 222-0182
Mailing address
1011 GROVE RD, SUITE 2-A, GREENVILLE, SC 29605-4660
(864) 233-5128
(864) 271-2599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8279
SC
Other
Enumeration date
07/08/2016
Last updated
08/01/2016
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