Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 40QA01332000 | NJ |
NPI | 1447502331 |
---|---|
Provider Name | Miss Angela E Mueller |
First Address | Monmouth Beach, NJ 07750-0408 |
Second Address | Cream Ridge, NJ 08514-2517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2012 |
Last Update Date | 03/10/2012 |