Provider Demographics
NPI:1841531555
Name:MULLINS, CHRISTINA HARPER (OTR/L)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:HARPER
Last Name:MULLINS
Suffix:
Gender:
Credentials:OTR/L
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3500 DEPAUW BLVD STE 3070
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6135
Mailing Address - Country:US
Mailing Address - Phone:855-324-0885
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:130 CHARLOIS BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1522
Practice Address - Country:US
Practice Address - Phone:336-777-7239
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2013-03-05
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8570225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1558434357OtherHERITAGE REHAB AND FITNESS