Individual
MRS. TWANA ELAINE MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
710 W ELLIS ST, JEFFERSON CITY, TN 37760-2101
(423) 312-5181
Mailing address
710 W ELLIS ST, JEFFERSON CITY, TN 37760-2101
(423) 312-5181
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT0000002865
TN
Other
Enumeration date
02/21/2007
Last updated
12/03/2015
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