Individual
DANIEL A. PAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, OCS
Contact information
Practice address
5150 N PORT WASHINGTON RD STE 130, GLENDALE, WI 53217-5470
(414) 332-0707
(414) 332-3670
Mailing address
5150 N PORT WASHINGTON RD STE 130, GLENDALE, WI 53217-5470
(414) 332-0707
(414) 332-3670
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2060
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391605943011
BCBS GROUP
WI
05
—
40169700
—
WI
Enumeration date
10/17/2007
Last updated
10/17/2007
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