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: |