Individual
CHRISTINA MUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1529 SNAPDRAGON LN, ROSEVILLE, CA 95747-7518
(850) 960-6884
Mailing address
1529 SNAPDRAGON LN, ROSEVILLE, CA 95747-7518
(850) 960-6884
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12301
CA
225X00000X
Occupational Therapist
OT13812
FL
Other
Enumeration date
02/02/2010
Last updated
07/22/2014
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