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Organization
THERAPY WEST 2, LLC
Active
Organization
THERAPY WEST 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE KIEFER OTD, OTR/L, BCP (OWNER)
(407) 900-3026
Entity
Organization
Contact information
Practice address
400 S ORLANDO AVE STE 204, MAITLAND, FL 32751-5644
(407) 400-3026
Mailing address
400 S ORLANDO AVE STE 204, MAITLAND, FL 32751-5644
(407) 900-3026
(407) 439-7026
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/28/2023
Last updated
08/19/2026
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