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Organization
WISE THERAPY SERVICES LLC
Active
Organization
WISE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALAN WISE OTR (PRESIDENT)
(386) 290-9383
Entity
Organization
Contact information
Practice address
495 S NOVA RD, SUITE 112, ORMOND BEACH, FL 32174-8470
(386) 677-4300
Mailing address
315 RIO PINAR DR, ORMOND BEACH, FL 32174-3707
(386) 290-9383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
08/22/2020
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