# OCCUPATIONAL THERAPY & WELLNESS CENTERS OF AMERICA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043602741
- **Authorized official:** DR. ROBERT JASON MULLANEY OTR/L, MBA-HSA, DBA (PRESIDENT)
- **Authorized official phone:** (954) 870-0050

## Contact information

- **Practice address:** 11820 MIRAMAR PKWY STE 110, MIRAMAR, FL 33025-5816
- **Practice address phone:** (954) 870-0050
- **Mailing address:** 11820 MIRAMAR PKWY STE 110, MIRAMAR, FL 33025-5816
- **Mailing address phone:** (954) 870-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | OT10332 | FL | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | OT10332 | FL | — |

## Other

- **Enumeration date:** 03/04/2015
- **Last updated:** 03/04/2015