Individual
TED MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OT, MBA
Contact information
Practice address
4 ROCKY LN, DURHAM, NH 03824-1947
(603) 315-4521
Mailing address
4 ROCKY LN, DURHAM, NH 03824-1947
(603) 315-4521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1016
NH
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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