Provider Demographics
NPI:1740308766
Name:MILLS, PAULA WARFIELD (PTA)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:WARFIELD
Last Name:MILLS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3851 VINCENT RD.
Mailing Address - Street 2:
Mailing Address - City:LINKWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21835-1143
Mailing Address - Country:US
Mailing Address - Phone:410-221-8154
Mailing Address - Fax:
Practice Address - Street 1:100 E CARROLL ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5422
Practice Address - Country:US
Practice Address - Phone:410-546-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA2952225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant