Paula Jean Wilson, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Mapleville, RI
NPI 1609166222 · NPPES record last updated Apr 15, 2011
Key facts
- NPI
- 1609166222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA00533 (RI)
- Practice address
- 26 Woodridge Dr
Mapleville, RI 02839-1156 - Phone
- (401) 568-9306
- NPI assigned
- Apr 15, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA00533 | RI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA00533 | RI | Yes |
Addresses
Primary practice location
26 Woodridge Dr
Mapleville, RI 02839-1156
Mailing address
26 Woodridge Dr
Mapleville, RI 02839-1156
Phone (401) 568-9306
Other providers in Mapleville, RI
All providers in Mapleville, RI · Occupational Therapy Assistant in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.