Individual
MRS. MAUREEN CHARLOTTE MUSSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5194
MN
2251G0304X
Geriatric Physical Therapist
000995E
PA
2251P0200X
Pediatric Physical Therapist
4067
WI
Other
Enumeration date
04/04/2008
Last updated
12/18/2023
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