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NPI Code Detail

MEDICARE: MRS. JEANNETTE MARIE MULLER OT

MEDICARE: MRS. JEANNETTE MARIE MULLER OT
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
1225X00000XOccupational TherapistOT003799OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00781789OTHEROHMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19342332OTHEROHPHCS
2000000328341OTHEROHANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497753412
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JEANNETTE MARIE MULLER OT
Provider Business Mailing Address
First Line : 560 S LOOP RD
Second Line :
City : EDGEWOOD
State : KY
Zip : 41017-3405
Country : US
Telephone Number : 859-301-2663
Fax Number : 859-817-7848
Provider Business Practice Location Address
First Line : 6620 CLOUGH PIKE
Second Line :
City : CINCINNATI
State : OH
Zip : 45244-4053
Country : US
Telephone Number : 513-221-2663
Fax Number : 859-817-7848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 02/12/2021

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