Individual
ILENE MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
776 SHREWSBURY AVE, TINTON FALLS, NJ 07724-3006
(732) 741-0665
(732) 741-0668
Mailing address
4175 VETERANS MEMORIAL HWY, SUITE 202, RONKONKOMA, NY 11779-7639
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00441300
NJ
Other
Enumeration date
12/28/2006
Last updated
05/14/2009
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