Individual
MS. MARTHA MULVIHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2690 BOLDT ST, LAS CRUCES, NM 88005-3874
(505) 647-0974
Mailing address
2690 BOLDT ST, LAS CRUCES, NM 88005-3874
(505) 647-0974
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
503
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000T6389
—
NM
01
—
503
NM OT LICENSE
NM
Enumeration date
04/25/2007
Last updated
07/09/2007
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