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Organization
MUELLER PEDIATRIC THERAPY LTD
Active
Organization
MUELLER PEDIATRIC THERAPY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MUELLER (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(309) 282-6704
Entity
Organization
Contact information
Practice address
411 E WASHINGTON ST, EAST PEORIA, IL 61611-2663
(309) 282-6704
(309) 387-2340
Mailing address
411 E WASHINGTON ST, EAST PEORIA, IL 61611-2663
(309) 282-6704
(309) 387-2340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149007677
IL
235Z00000X
Speech-Language Pathologist
Primary
146008528
IL
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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