Individual
MARK MCMULLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Mailing address
325 HANSON ST, WINNEMUCCA, NV 89445-3607
(775) 625-2222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
22059
FL
225X00000X
Occupational Therapist
Primary
OT-3029
NV
Other
Enumeration date
11/01/2021
Last updated
08/28/2023
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