Provider Demographics
NPI:1427756501
Name:MUHLENKAMP, ABIGAIL (OTR/L, OTD)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:MUHLENKAMP
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5852 E 400 N
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:IN
Mailing Address - Zip Code:47371-7942
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11563 W 300 S
Practice Address - Street 2:
Practice Address - City:DUNKIRK
Practice Address - State:IN
Practice Address - Zip Code:47336-9044
Practice Address - Country:US
Practice Address - Phone:765-768-7537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31007937A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist