Organization
MARIPOSA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE PEREZ WATSON OT (OCCUPATIONAL THERAPIST)
(813) 503-0169
Entity
Organization
Contact information
Practice address
16712 MAGNOLIA RESERVE PL, WIMAUMA, FL 33598-4074
(813) 503-0169
Mailing address
16712 MAGNOLIA RESERVE PL, WIMAUMA, FL 33598-4074
(910) 420-3397
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/21/2025
Last updated
09/18/2025
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