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Individual

MRS. KATHLEEN MUELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
11904 W NORTH AVE, SUITE 100, WAUWATOSA, WI 53226-2062
(414) 453-8616
(414) 453-6150
Mailing address
11904 W NORTH AVE, SUITE 100, WAUWATOSA, WI 53226-2062
(414) 453-8616
(414) 453-6150

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3550-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40183900
WI
Enumeration date
12/13/2006
Last updated
07/08/2007
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