Individual
KATIE MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 N MIDDLETOWN RD, MEDIA, PA 19063-4059
(610) 892-0667
Mailing address
791 W ROLLING RD, SPRINGFIELD, PA 19064-1131
(610) 999-2979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011920
PA
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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