Provider Demographics
NPI:1265501100
Name:MUELLER, PAMELA CLAIRE (OTR)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:CLAIRE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1271 ALDRICH WAY
Mailing Address - Street 2:
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-7018
Mailing Address - Country:US
Mailing Address - Phone:507-210-1620
Mailing Address - Fax:507-332-0958
Practice Address - Street 1:1271 ALDRICH WAY
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-7018
Practice Address - Country:US
Practice Address - Phone:507-210-1620
Practice Address - Fax:507-332-0958
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100801225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist