| NPI | 1568400166 |
|---|---|
| Former Name | TARA R MUELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2113) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT017675) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-03-16 |