MICHAEL MULLIGAN

BEAVERTON, OR
NPI1104139229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  8670)
Enumeration Date2010-07-18
Last Update Date2010-07-18
Business Address
-- MICHAEL MULLIGAN PTA
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-526-7449
Mailing Address
-- MICHAEL MULLIGAN PTA
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: