Individual
PAULA ULEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-09506
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2511933663003
MEDICAL MUTUAL ID
OH
01
—
340753561033
CARESOURCE ID
OH
Enumeration date
01/24/2007
Last updated
07/08/2007
Update your record
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