Provider Demographics
NPI:1467808808
Name:URRUTIA, PAULINA SUSANA (OTR/L)
Entity type:Individual
Prefix:MS
First Name:PAULINA
Middle Name:SUSANA
Last Name:URRUTIA
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 1:10 CASTLE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2515
Mailing Address - Country:US
Mailing Address - Phone:828-407-0491
Mailing Address - Fax:828-392-5093
Practice Address - Street 1:10 CASTLE ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2515
Practice Address - Country:US
Practice Address - Phone:828-407-0491
Practice Address - Fax:828-392-5093
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-04
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10273225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist