Individual
MR. TIMOTHY JOHN MULVIHILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
319 LINDEN AVE, EDGEWATER, MD 21037-4814
(703) 622-9032
Mailing address
319 LINDEN AVE, EDGEWATER, MD 21037-4814
(703) 622-9032
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/18/2007
Last updated
07/17/2007
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