Individual
AMBER MICHELLE PAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
431 W OAK ST, EL DORADO, AR 71730-4566
(870) 864-9190
Mailing address
311 EVANS DR, EL DORADO, AR 71730
(870) 862-6989
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA2085
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159237721
—
AR
Enumeration date
10/02/2006
Last updated
10/19/2009
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