Organization
BWELL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINA VISHNEVSKY SLP (PRESIDENT)
(941) 484-9291
Entity
Organization
Contact information
Practice address
405 COMMERCIAL CT STE A, VENICE, FL 34292-1653
(941) 484-9291
Mailing address
405 COMMERCIAL CT STE A, VENICE, FL 34292-1653
(718) 640-7917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
SZ6600
FL
Other
Enumeration date
02/13/2014
Last updated
07/10/2014
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