Individual
SHELLY R MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1414 JEFFERSON ST, BARABOO, WI 53913-1503
(608) 356-4838
(608) 356-5441
Mailing address
1414 JEFFERSON ST, BARABOO, WI 53913-1503
(608) 356-4838
(608) 356-5441
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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