Individual
TRACY RENE MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
100 POWELL DR, DUNDEE, MI 48131-8644
(734) 430-3124
Mailing address
18 W WILLOW ST, MONROE, MI 48162-2758
(734) 755-6809
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000605
MI
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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