Provider Demographics
NPI:1710254305
Name:MUELLER, JANICE LEE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:LEE
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 1:27 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-1432
Mailing Address - Country:US
Mailing Address - Phone:607-432-6298
Mailing Address - Fax:
Practice Address - Street 1:27 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-1432
Practice Address - Country:US
Practice Address - Phone:607-432-6298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-26
Last Update Date:2011-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004812-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist