Individual
MRS. KATIE MOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
193 SAM LISENBY RD, OZARK, AL 36360
(334) 445-6336
Mailing address
21 COUNTY ROAD 739, ENTERPRISE, AL 36330-6829
(908) 872-7113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3157
NM
225X00000X
Occupational Therapist
Primary
4902
AL
Other
Enumeration date
12/26/2014
Last updated
01/23/2019
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