Provider Demographics
NPI:1972545390
Name:MAULL, CAROLYN TURNER (ATC,CSCS,NSCA-CPT)
Entity Type:Individual
Prefix:MISS
First Name:CAROLYN
Middle Name:TURNER
Last Name:MAULL
Suffix:
Gender:F
Credentials:ATC,CSCS,NSCA-CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:46 CIRCLE DR W
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-9407
Mailing Address - Country:US
Mailing Address - Phone:302-684-3458
Mailing Address - Fax:302-684-3458
Practice Address - Street 1:17099 COUNTY SEAT HWY
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-4865
Practice Address - Country:US
Practice Address - Phone:302-856-0961
Practice Address - Fax:302-856-1760
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ3-00002262255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer