Individual
MRS. PAULA WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3658
(920) 459-3028
(920) 459-4341
Mailing address
3014 ERIE AVE, SHEBOYGAN, WI 53081-3658
(920) 459-3028
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
493-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20865381
SUNNYRIDGE HEALTH AND REHABILITATION CENTER
WI
Enumeration date
07/12/2010
Last updated
07/12/2010
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