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Organization
INTENTION WELLNESS INC., PHYSICAL THERAPY SERVICES
Active
Organization
INTENTION WELLNESS INC., PHYSICAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES M PALMER PT (PRESIDENT/OWNER)
(305) 209-5050
Entity
Organization
Contact information
Practice address
15207 SW 176TH LN, MIAMI, FL 33187-1620
(305) 209-5050
(305) 235-5050
Mailing address
15207 SW 176TH LN, MIAMI, FL 33187-1620
(305) 209-5050
(305) 235-5050
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
225100000X
Physical Therapist
Primary
PT17965
FL
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006476800
—
FL
Enumeration date
08/15/2012
Last updated
04/01/2024
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