Individual
MRS. MEAGAN LEIGH MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1101 HORSEBARN RD, ROGERS, AR 72758-8237
(479) 271-4170
(479) 271-8095
Mailing address
PO BOX 1608, FAYETTEVILLE, AR 72702-1608
(479) 587-3130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1786
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14835071
—
AR
01
—
5Y570
BCBS
AR
01
—
P00363343
RAILROAD MEDICARE NUMBER
AR
Enumeration date
08/14/2006
Last updated
05/26/2010
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