Doctor Name: | MRS. COURTNEY ANN MULLER |
NPI Number: | 1255778775 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L,CHT |
License Number: | OT003609 |
Business Practice Address: | 3580 Atlanta Ave Hapeville, GA - 303541706 |
Business Phone Number: | 4047683351 |
Business Fax Number: | |
Mailing Address: | 220 Greenwood Cir, DECATUR |
State: | GA |
Postal Code: | 300303103 |
Phone Number: | 6789105884 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2013 |
NPI Last Update Date: | 05/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OT003609 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |