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NPI Code Detail

MEDICARE: COURTNEY MULLIGAN OTD, OTR/L

MEDICARE: COURTNEY MULLIGAN OTD, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist12619MT
2225X00000XOccupational Therapist46TR00971500NJ

General Provider Information

NPI Number : 1366032286
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY MULLIGAN OTD, OTR/L
Provider Business Mailing Address
First Line : 1401 25TH ST S
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5183
Country : US
Telephone Number : 406-731-8930
Fax Number : 406-731-8935
Provider Business Practice Location Address
First Line : 1401 25TH ST S
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5183
Country : US
Telephone Number : 406-731-8930
Fax Number : 406-731-8935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2021
Last Update Date : 03/03/2026

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Directions to “ COURTNEY MULLIGAN OTD, OTR/L” Practice Location

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