Individual
LISA MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
960 MORRISSEY BLVD, DORCHESTER, MA 02122-3206
(617) 506-7210
Mailing address
960 MORRISSEY BLVD, DORCHESTER, MA 02122-3206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19916
MA
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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