Provider Demographics
NPI:1417616285
Name:MUELLER, DOROTHY ANNE (MA, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:ANNE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:ANNE
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2300 US HIGHWAY 51-138
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:WI
Mailing Address - Zip Code:53589
Mailing Address - Country:US
Mailing Address - Phone:608-873-2292
Mailing Address - Fax:
Practice Address - Street 1:202 S PARK ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715-1507
Practice Address - Country:US
Practice Address - Phone:608-417-7574
Practice Address - Fax:608-417-5936
Is Sole Proprietor?:No
Enumeration Date:2021-12-09
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6983-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist