Individual
MRS. ILSE JO-ANNETTE MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7928 VIREO CT SE, OLYMPIA, WA 98513-5502
(360) 528-9376
Mailing address
7928 VIREO CT SE, OLYMPIA, WA 98513-5502
(360) 528-9376
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003784
WA
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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