Organization
HOME MODIFICATION DESIGN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERI LYNN WILSON OTR/L, CAPS (OWNER)
(407) 417-6031
Entity
Organization
Contact information
Practice address
17 PLEASANT HILL DRIVE, DEBARY, FL 32713
(407) 417-6031
Mailing address
17 PLEASANT HILL DRIVE, DEBARY, FL 32713
(407) 417-6031
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
OT7785
FL
251E00000X
Home Health Agency
OT7785
FL
Other
Enumeration date
08/04/2015
Last updated
09/08/2015
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