Provider Demographics
NPI:1770510596
Name:MAXWELL, PAULA J (PHD, ATC)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:J
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:PHD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 MARTIN LUTHER KING JR WAY
Mailing Address - Street 2:MSC 4101
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807
Mailing Address - Country:US
Mailing Address - Phone:540-568-8872
Mailing Address - Fax:
Practice Address - Street 1:235 MARTIN LUTHER KING JR WAY MSC 4101
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-8028
Practice Address - Country:US
Practice Address - Phone:540-568-8872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer