# PROFESSIONAL CASE MANAGEMENT OF SOUTHWEST FL

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

## Provider details

- **NPI number:** 1912187345
- **Authorized official:** MS. SALLY E THIMM OTR/L (DIRECTOR)
- **Authorized official phone:** (941) 228-3562

## Contact information

- **Practice address:** 5865 HARRISON RD, VENICE, FL 34293-6835
- **Practice address phone:** (941) 228-3562
- **Practice address fax:** (941) 492-2020
- **Mailing address:** 5865 HARRISON RD, VENICE, FL 34293-6835
- **Mailing address phone:** (941) 228-3562
- **Mailing address fax:** (941) 492-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XN1300X | Neurorehabilitation Occupational Therapist | OT4376 | FL | Yes |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 08/18/2011
