Individual provider · Type 1 NPI

Angela Mary Pauly, OTR

Specialist · Southaven, MS

NPI number 1619093838 Active

Practice location

83 Airways Pl
Southaven, MS 38671-5885

Call (662) 349-8787 Map

Mailing address

1312 Gaston Dr
Southaven, MS 38671-7046

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XOTR1109 (AR)
Specialist 174400000X107497 (TX)
Specialist Primary 174400000XOT2488 (MS)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1619093838

Angela Mary Pauly, OTR's National Provider Identifier is 1619093838, issued on Mar 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Southaven, MS. The record was last updated on Aug 13, 2010.