MEDICARE: TRACY MUELLER OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT.008544	OH

General Provider Information

NPI Number	:	1184091035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACY MUELLER OTR/L

Provider Business Mailing Address
First Line	:	2891 MINTO AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-1531
Country	:	US
Telephone Number	:	419-296-8571
Fax Number	:

Provider Business Practice Location Address
First Line	:	2891 MINTO AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-1531
Country	:	US
Telephone Number	:	419-296-8571
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2015
Last Update Date	:	08/26/2015

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Directions to “ TRACY MUELLER OTR/L” Practice Location

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