Provider Demographics
NPI:1699098798
Name:VESEY, PAULA DIANA (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:DIANA
Last Name:VESEY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 TRAPPERS SACK RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-4828
Mailing Address - Country:US
Mailing Address - Phone:919-461-9607
Mailing Address - Fax:
Practice Address - Street 1:300 KILDAIRE WOODS DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5500
Practice Address - Country:US
Practice Address - Phone:919-465-0356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0591224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant