Individual
JOAN MARY PAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
N84W17049 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2701
(262) 255-7050
(262) 255-7834
Mailing address
217 LAWNDALE AVE, SLINGER, WI 53086-9561
(262) 644-6653
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
168-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40584500
—
WI
Enumeration date
05/08/2007
Last updated
07/08/2007
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