Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 1131 | OH |
NPI | 1063546430 |
---|---|
Provider Name | Mrs. Paula Jean Michaud |
First Address | Westlake, OH 44145-6401 |
Second Address | Cleveland, OH 44115-3118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 08/07/2007 |