Individual
KATELYN LORAINE MULRONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 EPPS BRIDGE PKWY, ATHENS, GA 30606-6987
(706) 995-7177
Mailing address
2717 POWELL CT, MONROE, GA 30656-8676
(706) 248-5323
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001080
GA
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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