(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003539131
Provider Name: BRIELLE KAYLA MULLIGAN OTR
Entity Type: Individual
Taxonomy Code: 225X00000X
Specialty: Occupational Therapist
License Number: 46TR01082800
Most Important Dates
Enumeration Date: 09/23/2022
Last Updated: 09/23/2022
Provider Practice Location
1405 ROUTE 18 STE 203
OLD BRIDGE
NJ
088573777
Practice Location Phone/Fax
Phone: 7329670900
Fax:
Provider Mailing Location
PO BOX 508
ROOSEVELT
NJ
085550508
Provider Mailing Phone/Fax
Phone: 6095787403
Fax: