Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 0119008016 | VA |
N | 225XH1200X | Occupational Therapist - Hand | OT1598 | FL |
NPI | 1164511291 |
---|---|
Provider Name | Paula J Gaudio |
First Address | Virginia Beach, VA 23462-1832 |
Second Address | Chesapeake, VA 23320-1610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 15/12/2020 |