Provider Demographics
NPI:1033358452
Name:PAQUETTE, SONIA (OTD, OTR/L, CPE, ABV)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:
Last Name:PAQUETTE
Suffix:
Gender:F
Credentials:OTD, OTR/L, CPE, ABV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17505 HIDDEN GARDEN LN
Mailing Address - Street 2:
Mailing Address - City:ASHTON
Mailing Address - State:MD
Mailing Address - Zip Code:20861-3652
Mailing Address - Country:US
Mailing Address - Phone:484-364-1619
Mailing Address - Fax:866-861-8659
Practice Address - Street 1:17505 HIDDEN GARDEN LN
Practice Address - Street 2:
Practice Address - City:ASHTON
Practice Address - State:MD
Practice Address - Zip Code:20861-3652
Practice Address - Country:US
Practice Address - Phone:484-364-1619
Practice Address - Fax:866-861-8659
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009924225X00000X, 225XE1200X
DEU1-0001040225X00000X, 225XE1200X
MD03372225X00000X, 225XE1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics