Nicole Mulligan, DPT

NPI #1861866386 in Roosevelt, New York

Provider Information

NPI Number: 1861866386
Entity Type: Individual
Name: Nicole Mulligan, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 20, 2015
Last Updated: Nov 20, 2015

Practice Location

Address: 380 WASHINGTON AVE
City: Roosevelt
State: New York
ZIP Code: 11575-1845
Phone: (516) 378-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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