Organization
OCCUPATIONAL THERAPY AND WELLNESS CENTERS OF AMERICA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JASON MULLANEY OTR/L (DIRECTOR)
(954) 870-0050
Entity
Organization
Contact information
Practice address
1033 CAROLINE DR, RICHMOND, KY 40475-9597
(954) 870-0050
Mailing address
1033 CAROLINE DR, RICHMOND, KY 40475-9597
(954) 870-0050
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
164306
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346791274
NPI
KY
Enumeration date
10/17/2016
Last updated
10/17/2016
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