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Organization
AALWM CLINIC PLLC
Active
Organization
AALWM CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLEISCHA MAYNE-OWEN (OFFICE MANAGER)
(407) 312-4613
Entity
Organization
Contact information
Practice address
1180 SPRING CENTRE SOUTH BLVD STE 355, ALTAMONTE SPRINGS, FL 32714-1999
(407) 312-4613
(800) 414-3101
Mailing address
1180 SPRING CENTRE SOUTH BLVD STE 355, ALTAMONTE SPRINGS, FL 32714-1999
(407) 312-4613
(800) 414-3101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
09/25/2025
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