Individual
MRS. ATHENA MULLADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14 RESEARCH WAY, EAST SETAUKET, NY 11733-3453
(631) 331-6400
(631) 331-9572
Mailing address
14 RESEARCH WAY, EAST SETAUKET, NY 11733-3453
(631) 331-6400
(631) 331-9572
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013111-1
NY
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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