Healthcare Provider Details

I. General information

NPI: 1902831720
Provider Name (Legal Business Name): DANIELLE G MULLER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 W GRANT LINE RD SUITE 100
TRACY CA
95377-7309
US

IV. Provider business mailing address

2180 W GRANT LINE RD STE 100
TRACY CA
95377-7343
US

V. Phone/Fax

Practice location:
  • Phone: 925-463-0470
  • Fax: 844-844-0798
Mailing address:
  • Phone: 925-463-0470
  • Fax: 844-844-0798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 25941
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: