Individual
COURTNEY MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12619
MT
225X00000X
Occupational Therapist
46TR00971500
NJ
225X00000X
Occupational Therapist
OC017464
PA
Other
Enumeration date
01/25/2021
Last updated
03/03/2026
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