MEDICARE: JULIE ANNE MULCAHY MPT

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
1	2251X0800X	Orthopedic Physical Therapist	5501005379	MI

General Provider Information

NPI Number	:	1376846709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANNE MULCAHY MPT

Provider Business Mailing Address
First Line	:	3100 CROSS CREEK PKWY
Second Line	:	STE 110
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-2774
Country	:	US
Telephone Number	:	248-377-8000
Fax Number	:	248-364-4265

Provider Business Practice Location Address
First Line	:	3100 CROSS CREEK PKWY
Second Line	:	STE 200
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-2776
Country	:	US
Telephone Number	:	248-377-8000
Fax Number	:	248-364-4265

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2010
Last Update Date	:	09/14/2012

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