Individual
AMANDA LEE MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
716 MIMOSA DR, MINEOLA, TX 75773-2612
(903) 569-5366
Mailing address
PO BOX 101, GOLDEN, TX 75444-0101
(903) 850-5547
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2066536
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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