Emily Grace Mullins, OT | |
3660 Guion Rd, Indianapolis, IN 46222-1697 | |
(317) 329-7017 | |
Not Available |
Full Name | Emily Grace Mullins |
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Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 3660 Guion Rd, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376389577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | 31008029A (Indiana) | Primary |
Provider Name | Indiana University Health Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376586719 PECOS PAC ID: 2365350675 Enrollment ID: O20040407000695 |
Mailing Address | Practice Location Address |
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Emily Grace Mullins, OT 5501 Winthrop Ave, Indianapolis, IN 46220-3248 Ph: () - | Emily Grace Mullins, OT 3660 Guion Rd, Indianapolis, IN 46222-1697 Ph: (317) 329-7017 |
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