Provider Demographics
NPI:1528933306
Name:MUYULEMA, MARLA GUADALUPE (OTRL)
Entity type:Individual
Prefix:
First Name:MARLA
Middle Name:GUADALUPE
Last Name:MUYULEMA
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W 7TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-1629
Mailing Address - Country:US
Mailing Address - Phone:908-834-2575
Mailing Address - Fax:908-834-2863
Practice Address - Street 1:120 W 7TH ST STE 200
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1629
Practice Address - Country:US
Practice Address - Phone:908-834-2575
Practice Address - Fax:908-834-2863
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01259600225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty