Individual
CONSTANCE IRENE MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
210 BIG SPRING RD, NEWVILLE, PA 17241-9497
(171) 776-8255
(717) 776-6266
Mailing address
519 E WINDING HILL RD, MECHANICSBURG, PA 17055-4911
(717) 776-8255
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE001668L
PA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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