Individual
MRS. AMY MULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
515 STONECREST PKWY STE 120, SMYRNA, TN 37167-6827
(615) 220-1122
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000006131
TN
225XP0200X
Pediatric Occupational Therapist
056006245
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
03/14/2007
Last updated
11/23/2021
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