Provider Demographics
NPI:1639702103
Name:WELLMAN, PARIS (OT)
Entity type:Individual
Prefix:
First Name:PARIS
Middle Name:
Last Name:WELLMAN
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 1:1225 CORPORATE DR STE B
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-7701
Mailing Address - Country:US
Mailing Address - Phone:419-866-0555
Mailing Address - Fax:419-866-0556
Practice Address - Street 1:1225 CORPORATE DR STE B
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-7701
Practice Address - Country:US
Practice Address - Phone:419-866-0555
Practice Address - Fax:419-866-0556
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist