Provider Demographics
NPI:1194081570
Name:ARANGO, PAULA ANDREA (OTR/L)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:ANDREA
Last Name:ARANGO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3434 CORPORAL KENNEDY ST
Mailing Address - Street 2:BAYSIDE
Mailing Address - City:QUEENS
Mailing Address - State:NY
Mailing Address - Zip Code:11361
Mailing Address - Country:US
Mailing Address - Phone:646-765-8444
Mailing Address - Fax:
Practice Address - Street 1:3434 CORPORAL KENNEDY ST
Practice Address - Street 2:BAYSIDE
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1459
Practice Address - Country:US
Practice Address - Phone:646-765-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY63012094225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics