Provider Demographics
NPI:1346566320
Name:PYLES, PAULA C (OT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:C
Last Name:PYLES
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 ANTOINETTE WAY
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:KY
Mailing Address - Zip Code:41091-7410
Mailing Address - Country:US
Mailing Address - Phone:270-401-1716
Mailing Address - Fax:
Practice Address - Street 1:85 N GRAND AVE
Practice Address - Street 2:CARDINAL HILL REHABILITATION
Practice Address - City:FORT THOMAS
Practice Address - State:KY
Practice Address - Zip Code:41075
Practice Address - Country:US
Practice Address - Phone:270-401-1716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR3465282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital