Individual
DEANNA MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1300 N PROSPECT AVE APT 420, MILWAUKEE, WI 53202-3049
(262) 671-1149
Mailing address
1300 N PROSPECT AVE APT 420, MILWAUKEE, WI 53202-3049
(262) 617-1149
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2668-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009698
NATIONAL BOARD FOR CERTIFICATION IN OT
MD
01
—
2668-026
WI OT LICENSE
WI
05
—
40780100
—
WI
Enumeration date
08/07/2009
Last updated
04/08/2013
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