Individual
MICHELLE LYN MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(402) 334-1919
Mailing address
2151 LINDEN RD, DEFIANCE, IA 51527-7118
(712) 748-8282
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4837
IA
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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