Rowan Mully
Day Training/Habilitation Specialist in Wayne, NE. Individual provider (NPI-1).
NPI number1194530956
StatusActive
Last updated in NPPESFeb 10, 2025
Details
- NPI
- 1194530956
- Entity type
- Individual (NPI-1)
- Name
- Rowan Mully
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2025
- Certification date
- Feb 10, 2025
- Last updated
- Feb 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
209 S Main StWayne, NE 68787-1946
Phone 402-375-2881
Mailing address
Po Box 280Wayne, NE 68787-0280
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