Provider Demographics
NPI:1144564550
Name:ARANT, PAIGE MICHELLE (COTA/L)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:MICHELLE
Last Name:ARANT
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 1:1205 GOLDRIDGE DR SW APT E
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-2445
Mailing Address - Country:US
Mailing Address - Phone:256-338-6425
Mailing Address - Fax:
Practice Address - Street 1:1205 GOLDRIDGE DR SW APT E
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-2445
Practice Address - Country:US
Practice Address - Phone:256-338-6425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3071224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant