# MARIPOSA WELLNESS LLC

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

## Provider details

- **NPI number:** 1619854411
- **Authorized official:** STEFANIE PEREZ WATSON OT (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (813) 503-0169

## Contact information

- **Practice address:** 16712 MAGNOLIA RESERVE PL, WIMAUMA, FL 33598-4074
- **Practice address phone:** (813) 503-0169
- **Mailing address:** 16712 MAGNOLIA RESERVE PL, WIMAUMA, FL 33598-4074
- **Mailing address phone:** (910) 420-3397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | NULL | Yes |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/21/2025
- **Last updated:** 09/18/2025