Provider Demographics
NPI:1457506446
Name:MUELLER, AMANDA PATRICIA (MS, PT)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:PATRICIA
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 ALTA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-2612
Mailing Address - Country:US
Mailing Address - Phone:914-557-8164
Mailing Address - Fax:
Practice Address - Street 1:204 ALTA VISTA DR
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-2612
Practice Address - Country:US
Practice Address - Phone:914-557-8164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0187162251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics