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Nicholas Anthony Mulrain, PTA

Physical Therapy Assistant in Washington, DC. Individual provider (NPI-1).

NPI number1164063384
StatusActive
Last updated in NPPESSep 30, 2019

Details

NPI
1164063384
Entity type
Individual (NPI-1)
Name
Nicholas Anthony Mulrain
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 30, 2019
Last updated
Sep 30, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantA000036DCYes

Practice location

2601 18th St Ne
Washington, DC 20018-1301

Phone 202-715-7602

Mailing address

6925 Georgia Ave Nw # 16
Washington, DC 20012-2477

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