| Organization Name: | WALLIS A. CHEFITZ |
| NPI Number: | 1265612485 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WALLIS A. CHEFITZ (OWNER) |
| Mailing Address: | 9315 Sw 61 Court Pinecrest |
| State: | FL US |
| Postal Code: | 331561951 |
| Phone Number: | 3056658586 |
| Fax Number: | 3056658586 |
| NPI Enumeration Date: | 11/05/2007 |
| NPI Last Update Date: | 11/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |