Individual
MARA MULVANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 S CONKLING ST APT 4, BALTIMORE, MD 21224-4201
(267) 625-0714
Mailing address
530 S CONKLING ST APT 4, BALTIMORE, MD 21224-4201
(267) 625-0714
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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