Organization Name: | OCCUPATIONAL THERAPY & WELLNESS CENTERS OF AMERICA, INC. |
NPI Number: | 1043602741 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT JASON MULLANEY (PRESIDENT) |
Mailing Address: | 11820 Miramar Pkwy Ste 110 Miramar |
State: | FL US |
Postal Code: | 330255816 |
Phone Number: | 9548700050 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2015 |
NPI Last Update Date: | 03/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | OT10332 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |