Individual
MS. CAROLYN SLAY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
12457 TIMBERLAND BLVD, SUITE 205, FORT WORTH, TX 76244-5210
(817) 602-9298
Mailing address
12457 TIMBERLAND BLVD, SUITE 205, FORT WORTH, TX 76244-5210
(817) 602-9298
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1061505
TX
Other
Enumeration date
04/06/2011
Last updated
06/19/2012
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