Individual
CHRISTOPHER MULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
6043 THRUSH CIR, SANFORD, NC 27332-8862
(407) 310-7882
Mailing address
6043 THRUSH CIR, SANFORD, NC 27332-8862
(407) 310-7882
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11233
NC
224Z00000X
Occupational Therapy Assistant
OTA 13302
FL
Other
Enumeration date
07/07/2014
Last updated
09/22/2021
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