| Mueller Pediatric Therapy Ltd | |
|
411 E Washington St East Peoria IL 61611-2663 | |
| (309) 282-6704 | |
| (309) 387-2340 |
| Full Name | Mueller Pediatric Therapy Ltd |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 411 E Washington St, East Peoria, Illinois |
| Authorized Official Name and Position | Erin Mueller (OWNER/SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 3092826704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mueller Pediatric Therapy Ltd 411 E Washington St East Peoria IL 61611-2663 Ph: (309) 282-6704 | Mueller Pediatric Therapy Ltd 411 E Washington St East Peoria IL 61611-2663 Ph: (309) 282-6704 |
| NPI Number | 1801289723 |
|---|---|
| Provider Enumeration Date | 03/17/2015 |
| Last Update Date | 03/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801289723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149007677 (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | 146008528 (Illinois) | Primary |
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