Doctor Name: | VICKIE PATRICIA MULLINS |
NPI Number: | 1144330796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR / CHT |
License Number: | 1051100444 |
Business Practice Address: | 920 State St Manitowoc, WI - 542204038 |
Business Phone Number: | 9206831900 |
Business Fax Number: | |
Mailing Address: | 920 State St, MANITOWOC |
State: | WI |
Postal Code: | 542204038 |
Phone Number: | 9206831900 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 11/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XE1200X |
License Number: | 1051100444 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Ergonomics |
Taxonomy Definition: |