Mr. Paul Joseph Dery
Occupational Therapy Assistant
2512 New Pine Dr
Altoona
, Wisconsin 54720-1378
Mr. Paul Joseph Dery
Occupational Therapy Assistant
2512 New Pine Dr
Altoona
, Wisconsin 54720-1378
(715) 839-9127
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mr. Paul Joseph Dery
- 2149 15th St
- Eau Claire, WI
- Zip : 54703-2656
- Phone : (715) 839-9127
Second Address
- Mr. Paul Joseph Dery
- 2512 New Pine Dr
- Altoona, WI
- Zip : 54720-1378
- Fax : (715) 833-0397
- Phone : (715) 833-0400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 871-027 | WI |
National Provider Identifier
| NPI | 1003023433 |
|---|---|
| Provider Name | Mr. Paul Joseph Dery |
| First Address | Eau Claire, WI 54703-2656 |
| Second Address | Altoona, WI 54720-1378 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 40880800 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.