Provider Demographics
NPI:1982853677
Name:MUELLER, CECILIA MANGALI (PT)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:MANGALI
Last Name:MUELLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:CECILIA
Other - Middle Name:CRUZ
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:6021 SILVER KING BLVD UNIT 403
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-8077
Mailing Address - Country:US
Mailing Address - Phone:352-634-1180
Mailing Address - Fax:
Practice Address - Street 1:2219 CHIQUITA BLVD S
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-3291
Practice Address - Country:US
Practice Address - Phone:239-376-0417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2023-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 5902225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist