| Doctor Name: | MS. MAUREEN PAVELSKI |
| NPI Number: | 1063849057 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 313 Flanders Rd East Lyme, CT - 063331711 |
| Business Phone Number: | 8607397100 |
| Business Fax Number: | |
| Mailing Address: | 313 Flanders Rd, EAST LYME |
| State: | CT |
| Postal Code: | 063331711 |
| Phone Number: | 8607397100 |
| Fax Number: | |
| NPI Enumeration Date: | 10/04/2013 |
| NPI Last Update Date: | 10/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |