Provider Demographics
NPI:1437586187
Name:MUELLER, JOHN (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:MUELLER
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 FARM-TO-MARKET RD
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-2712
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20 FARM-TO-MARKET RD,
Practice Address - Street 2:BREWSTER CENTRAL SCHOOL DISTRICT
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-2712
Practice Address - Country:US
Practice Address - Phone:845-279-4018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist