Individual
KATHLEEN MCMULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1505 EASTLAND DR, BLOOMINGTON, IL 61701-3534
(309) 661-6275
Mailing address
701 HALE ST, NORMAL, IL 61761-2932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015384
IL
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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