Provider Demographics
NPI:1851424923
Name:MULLER, MICHELE LYNN (MOT/L)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:LYNN
Last Name:MULLER
Suffix:
Gender:F
Credentials:MOT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 STUART DR
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-4719
Mailing Address - Country:US
Mailing Address - Phone:845-849-2017
Mailing Address - Fax:
Practice Address - Street 1:77 STUART DR
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-4719
Practice Address - Country:US
Practice Address - Phone:845-849-2017
Practice Address - Fax:845-849-2017
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013009225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist