Individual
MR. JAMES ALVIN PAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1022 ADAMS ST, DOUGLAS, WY 82633-2818
(307) 251-4303
Mailing address
1022 ADAMS ST, DOUGLAS, WY 82633-2818
(307) 251-4303
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
304651
WY
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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