Healthcare Provider Details
I. General information
NPI: 1225736168
Provider Name (Legal Business Name): CHRISTINA MUEHLBAUER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2000 WILKES RIDGE DR
RICHMOND VA
23233-7632
US
IV. Provider business mailing address
13131 WHEATLEY CT
MIDLOTHIAN VA
23113-4089
US
V. Phone/Fax
- Phone: 804-877-4000
- Fax:
- Phone: 804-840-1760
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 2305214118 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251N0400X |
| Taxonomy | Neurology Physical Therapist |
| License Number | 2305214118 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: