Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY MULDER, COTA
Active Sole ProprietorMRS. KELLY MULDER, COTA is a Occupational Therapy Assistant healthcare provider located in PORT WASHINGTON, Wisconsin. NPI 1639507643 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · PORT WASHINGTON, WI
Registration Details
- NPI Number
- 1639507643
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2013 (12.771873495585 yrs)
- Last Updated
- Nov 12, 2014
- License
-
5045-27 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
138 E PROSPECT STPORT WASHINGTON, WI, 53074Browse WI providers · Browse ZIP 53074
- Phone
- 2626895265
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in PORT WASHINGTON, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. VICTORIA ANN CANTRALL | COTA | 1861668162 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.