Healthcare Provider Details
I. General information
NPI: 1932004041
Provider Name (Legal Business Name): HANNAH MUELLER DOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6908 N SANTA MONICA BLVD
FOX POINT WI
53217-3942
US
IV. Provider business mailing address
1515 ALTIS DR UNIT 201
OCONOMOWOC WI
53066-1343
US
V. Phone/Fax
- Phone: 414-352-2082
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 9294-26 |
| License Number State | WI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: