Organization
LWELL LLC
Active
Parent organization
LWELL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LWELL LLC
Authorized official
CAROLINE FORNSHELL (GROUP MANAGER)
(757) 585-3441
Entity
Organization
Contact information
Practice address
1309 JAMESTOWN RD STE 102, WILLIAMSBURG, VA 23185-3380
(757) 585-3441
Mailing address
1309 JAMESTOWN RD STE 102, WILLIAMSBURG, VA 23185-3380
(757) 585-3441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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