Provider Demographics
NPI:1821645094
Name:MULLIGAN, BRITTNEY ANN (PT)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:ANN
Last Name:MULLIGAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:ANN
Other - Last Name:CLEARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:715 STATE RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-5103
Mailing Address - Country:US
Mailing Address - Phone:508-591-7215
Mailing Address - Fax:
Practice Address - Street 1:715 STATE RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-5103
Practice Address - Country:US
Practice Address - Phone:508-591-7215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA24514225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist