Provider Demographics
NPI:1083016505
Name:MULHOLLAND, HELENE (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:MULHOLLAND
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 SUNNYHILL LN
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-2923
Mailing Address - Country:US
Mailing Address - Phone:610-291-4318
Mailing Address - Fax:
Practice Address - Street 1:1515 SUNNYHILL LN
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-2923
Practice Address - Country:US
Practice Address - Phone:610-291-4318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC011363225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist