Organization
HALE THERAPY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER DENISE HALE-WASHBURN MS,OTR (PRESIDENT/OCCUPATIONAL THERAPIST)
(239) 691-0765
Entity
Organization
Contact information
Practice address
12691 CHARTWELL DR, FORT MYERS, FL 33912-4659
(239) 561-2778
(239) 561-8107
Mailing address
12691 CHARTWELL DR, FORT MYERS, FL 33912-4659
(239) 561-2778
(239) 561-8107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16949
FL
225X00000X
Occupational Therapist
OT 3614
FL
225X00000X
Occupational Therapist
Primary
OT 7744
FL
235Z00000X
Speech-Language Pathologist
SA 9721
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001200700
—
FL
05
—
001200800
—
FL
Enumeration date
01/04/2011
Last updated
01/04/2011
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