Individual
CASEY MICHAEL MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
425 KEARNEY ST, EL CERRITO, CA 94530-3656
(510) 524-2177
Mailing address
5123 PARKRIDGE DR, OAKLAND, CA 94619-3515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT295859
CA
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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