Provider Demographics
NPI:1740468354
Name:MUELLER, HILARY L (OTR/L, MSW, LICSW)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:L
Last Name:MUELLER
Suffix:
Gender:F
Credentials:OTR/L, MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 THOMAS AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-2349
Mailing Address - Country:US
Mailing Address - Phone:612-552-3881
Mailing Address - Fax:
Practice Address - Street 1:2007 THOMAS AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2349
Practice Address - Country:US
Practice Address - Phone:612-552-3881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103379225X00000X
MN259551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist