Organization
HELENA WISTON, LLC
Active
Other names
Function Time Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELENA WISTON (OTR/L)
(561) 756-4254
Entity
Organization
Contact information
Practice address
11671 ISLAND LAKES LN, BOCA RATON, FL 33498-6802
(561) 756-4254
Mailing address
11671 ISLAND LAKES LN, BOCA RATON, FL 33498-6802
(561) 756-4254
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-6226
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003729800
—
FL
05
—
883426100
—
FL
Enumeration date
03/06/2017
Last updated
03/06/2017
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