Dr. Raymond Mullen, DPT
Physical Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982148953
StatusActive
Last updated in NPPESDec 11, 2016
Details
- NPI
- 1982148953
- Entity type
- Individual (NPI-1)
- Name
- Dr. Raymond Mullen
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2016
- Last updated
- Dec 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT292456 | CA | Yes |
Practice location
1537 S La Cienega BlvdLos Angeles, CA 90035-3714
Phone 310-657-7220 · Fax 310-657-7221
Mailing address
1537 S La Cienega BlvdLos Angeles, CA 90035-3714
Phone 310-657-7220 · Fax 310-657-7221
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