| Jennifer Elaine Mulligan, | |
|
1007 E Cooley Dr Ste 107, Colton, CA 92324-3901 | |
| (909) 388-2200 | |
| Not Available |
| Full Name | Jennifer Elaine Mulligan |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1007 E Cooley Dr Ste 107, Colton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508596875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 23725 (California) | Primary |
| Provider Name | Easy Speech Pathology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124434261 PECOS PAC ID: 2163716457 Enrollment ID: O20160809002788 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Elaine Mulligan, 7751 Aranci Way, Highland, CA 92346-5861 Ph: () - | Jennifer Elaine Mulligan, 1007 E Cooley Dr Ste 107, Colton, CA 92324-3901 Ph: (909) 388-2200 |
Mrs. Lori Lynn Davis, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1330 E Cooley Dr, Colton, CA 92324 Phone: 909-423-0750 | |
Jessica Phung, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 | |
Maria L. Cruz, OTD, OTR/L, CLVT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2225 Mountain Ct, Colton, CA 92324 Phone: 909-645-4087 | |
Kevin Thomas Ng, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000 | |
Mrs. Carrie Martin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 Reche Canyon Rd, Colton, CA 92324 Phone: 909-370-4411 | |
Ms. Michaela Carolyn Reid, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2236 Crescent Cir, Colton, CA 92324 Phone: 909-213-9911 | |
My Bui, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 930 S Mount Vernon Ave, Colton, CA 92324 Phone: 909-763-0814 |