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Organization
OCCUPATIONAL THERAPY AND WELLNESS CENTERS OF AMERICA, INC.
Active
Organization
OCCUPATIONAL THERAPY AND WELLNESS CENTERS OF AMERICA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JASON MULLANEY OTR/L (DIRECTOR)
(954) 870-0050
Entity
Organization
Contact information
Practice address
1033 CAROLINE DR, RICHMOND, KY 40475-9597
(954) 870-0050
Mailing address
1033 CAROLINE DR, RICHMOND, KY 40475-9597
(954) 870-0050
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
164306
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346791274
NPI
KY
Enumeration date
10/17/2016
Last updated
10/17/2016
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