Stephen Dale Mulhollen, | |
2000 Monarch Pointe, Greeneville, TN 37745-3774 | |
(423) 609-7997 | |
(423) 609-7033 |
Full Name | Stephen Dale Mulhollen |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 2000 Monarch Pointe, Greeneville, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578048245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT0000005810 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Journey Physical Therapy And Balance Center | 5890183107 | 3 |
Provider Name | Journey Physical Therapy & Balance Center |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1275206336 PECOS PAC ID: 5890183107 Enrollment ID: O20211019001134 |
Mailing Address | Practice Location Address |
---|---|
Stephen Dale Mulhollen, 1414 Brentwood Dr, Greeneville, TN 37743-6609 Ph: () - | Stephen Dale Mulhollen, 2000 Monarch Pointe, Greeneville, TN 37745-3774 Ph: (423) 609-7997 |
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