MRS. Kelly Mulder, COTA
NPI #1639507643 in Port Washington, Wisconsin
Provider Information
- NPI Number
- 1639507643
- Entity Type
- Individual
- Name
- MRS. Kelly Mulder, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Oct 30, 2013
- Last Updated
- Nov 12, 2014
Practice Location
- Address
- 138 E PROSPECT ST
- City
- Port Washington
- State
- Wisconsin
- ZIP Code
- 53074
- Phone
- (262) 689-5265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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