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Organization
WELLCARE THERAPY GROUP, INC
Active
Organization
WELLCARE THERAPY GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISETE B CARNICER OCCUPATIONAL THERAPY (PRESIDENT)
(305) 205-8011
Entity
Organization
Contact information
Practice address
1665 W 68TH ST, UNIT 105, HIALEAH, FL 33014-4400
(305) 205-8011
Mailing address
1665 W 68TH ST, UNIT 105, HIALEAH, FL 33014-4400
(305) 205-8011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA11330
FL
Other
Enumeration date
06/05/2014
Last updated
10/17/2016
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