Organization
PROFESSIONAL CASE MANAGEMENT OF SOUTHWEST FL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALLY E THIMM OTR/L (DIRECTOR)
(941) 228-3562
Entity
Organization
Contact information
Practice address
5865 HARRISON RD, VENICE, FL 34293-6835
(941) 228-3562
(941) 492-2020
Mailing address
5865 HARRISON RD, VENICE, FL 34293-6835
(941) 228-3562
(941) 492-2020
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT4376
FL
Other
Enumeration date
11/14/2007
Last updated
08/18/2011
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