Individual
BRIAN A MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11 PERSHING AVE, EWING, NJ 08618-2609
(609) 203-6272
Mailing address
11 PERSHING AVE, EWING, NJ 08618-2609
(609) 203-6272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA08654
NJ
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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