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NPI Code Detail

MEDICARE: JULIE ANN GILLIGAN MT-BC

MEDICARE:   JULIE ANN GILLIGAN  MT-BC
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
1225A00000XMusic Therapist

General Provider Information

NPI Number : 1811795172
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ANN GILLIGAN MT-BC
Provider Business Mailing Address
First Line : 14 WAR ADMIRAL LN
Second Line :
City : MEDIA
State : PA
Zip : 19063-5238
Country : US
Telephone Number : 484-680-5246
Fax Number :
Provider Business Practice Location Address
First Line : 416 QUEEN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-3021
Country : US
Telephone Number : 215-320-2625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2025
Last Update Date : 03/04/2025

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Directions to “ JULIE ANN GILLIGAN MT-BC” Practice Location

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