Individual
ALICE JEAN MULLHOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
1991 FORDHAM DR STE 102, FAYETTEVILLE, NC 28304-3774
(910) 484-4653
(910) 483-9256
Mailing address
1991 FORDHAM DR STE 102, FAYETTEVILLE, NC 28304-3774
(910) 484-4653
(910) 483-9256
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
10990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119003295
VA LICENSE
VA
Enumeration date
06/12/2006
Last updated
07/22/2025
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