| Brielle Kayla Mulligan, OTR | |
|
1405 Route 18 Ste 203, Old Bridge, NJ 08857-3777 | |
| (732) 967-0900 | |
| Not Available |
| Full Name | Brielle Kayla Mulligan |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1405 Route 18 Ste 203, Old Bridge, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003539131 | NPI | - | NPPES |
| 46TR01082800 | Other | NJ | OT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 46TR01082800 (New Jersey) | Primary |
| Provider Name | Attain Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1609406438 PECOS PAC ID: 6305272659 Enrollment ID: O20200204001837 |
| Provider Name | Max Health Therapies |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811651029 PECOS PAC ID: 5991193559 Enrollment ID: O20211101001551 |
| Mailing Address | Practice Location Address |
|---|---|
| Brielle Kayla Mulligan, OTR Po Box 508, Roosevelt, NJ 08555-0508 Ph: (609) 578-7403 | Brielle Kayla Mulligan, OTR 1405 Route 18 Ste 203, Old Bridge, NJ 08857-3777 Ph: (732) 967-0900 |
Jenna M Ambrosio, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 Perrine Rd Ste 315, Old Bridge, NJ 08857 Phone: 732-290-4175 | |
Gianna Taffo, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Perrine Rd Ste 315, Old Bridge, NJ 08857 Phone: 732-896-9065 | |
Alexandra Concepcion, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1405 Route 18 Ste 203, Old Bridge, NJ 08857 Phone: 732-576-3550 | |
Grace Nassereddine, MOT OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Perrine Rd Ste 305, Old Bridge, NJ 08857 Phone: 732-203-1658 | |
Shirish R Godbole, OTR CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Route 34, Suite F Professional Bldg, Old Bridge, NJ 08857 Phone: 732-727-7333 Fax: 732-727-7333 | |
Ms. Anupama Kukade, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 74 Sierra Ct, Old Bridge, NJ 08857 Phone: 732-401-6970 |