Individual
KRISTA MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2719 LORRAINE ST, ASHLAND, KY 41102-6035
(304) 545-2317
Mailing address
2719 LORRAINE ST, ASHLAND, KY 41102-6035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1506
WV
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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