Provider Demographics
NPI:1184463408
Name:MULLINS, MARGARET ANNE
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANNE
Last Name:MULLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CHISWICK RD APT 47
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-7172
Mailing Address - Country:US
Mailing Address - Phone:978-314-2524
Mailing Address - Fax:
Practice Address - Street 1:315A BROADWAY
Practice Address - Street 2:
Practice Address - City:SOMERVILLE MA
Practice Address - State:MA
Practice Address - Zip Code:02145
Practice Address - Country:US
Practice Address - Phone:617-718-0181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA249792251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports