Individual
JOHN MUEGGENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1406 SPRING VALLEY DR, ROSEVILLE, CA 95661-7329
(916) 300-4902
Mailing address
1406 SPRING VALLEY DR, ROSEVILLE, CA 95661-7329
(916) 300-4902
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT 1052
CA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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