Individual
MRS. JEANNETTE MARIE MULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6620 CLOUGH PIKE, CINCINNATI, OH 45244-4053
(513) 221-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003799
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328341
ANTHEM
OH
05
—
2507102
—
OH
01
—
9342332
PHCS
OH
01
—
P00781789
MEDICARE RAILROAD
OH
Enumeration date
07/13/2005
Last updated
02/12/2021
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