Individual
STEPHEN MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1666 HILLVIEW DR, ELIZABETHTON, TN 37643-4116
(423) 542-5061
Mailing address
204 HARKLEROAD LN, BRISTOL, TN 37620-3418
(276) 971-3391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3925
TN
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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