Individual
TRACY RENAE MUELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7250 FRANCE AVE S, SUITE 301, EDINA, MN 55435-4305
(952) 285-2840
(952) 285-2830
Mailing address
7250 FRANCE AVE S, SUITE 301, EDINA, MN 55435-4305
(952) 285-2840
(952) 285-2830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411618385
CAPERNAUM
MN
Enumeration date
09/22/2014
Last updated
09/22/2014
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