Individual
HEATHER MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E. FERGUSON STE.1204, TYLER, TX 75702
(903) 509-2040
(903) 534-5873
Mailing address
4074 RED CEDAR RD, BIG SANDY, TX 75755-4264
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2098362
TX
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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