| Colleen Mulkerin, | |
|
24 Bayview Rd, Ipswich, MA 01938-2826 | |
| (978) 356-0363 | |
| Not Available |
| Full Name | Colleen Mulkerin |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 24 Bayview Rd, Ipswich, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558784009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5223 (Massachusetts) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20180416000825 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Mulkerin, 24 Bayview Rd, Ipswich, MA 01938-2826 Ph: (978) 356-0363 | Colleen Mulkerin, 24 Bayview Rd, Ipswich, MA 01938-2826 Ph: (978) 356-0363 |
Ms. Paula A Sullivan, BS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Linebrook Rd, Ipswich, MA 01938 Phone: 978-356-4297 Fax: 978-356-5091 | |
Michaela Lussoro, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 73 Turnpike Rd, Ipswich, MA 01938 Phone: 978-312-2804 | |
The Ipswich Center Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Linebrook Rd, Ipswich, MA 01938 Phone: 978-356-9297 Fax: 978-356-5091 | |
Dr. Haley Kathleen Caico, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 73 Turnpike Road, Ipswich, MA 01938 Phone: 978-312-2804 | |
Ms. Dina M Difluri, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Linebrook Rd, Ipswich, MA 01938 Phone: 978-356-4297 Fax: 978-356-5091 | |
Sarah Antoinette Schultze, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Periwinkle Lane, Ipswich, MA 01938 Phone: 978-335-6641 | |
Mr. Paul M Dancewicz, BS PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Linebrook Rd, Ipswich, MA 01938 Phone: 978-356-4297 Fax: 978-356-5091 |