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NPI Code Detail

MEDICARE: WELLNESS ADVANTAGE INC

MEDICARE: WELLNESS ADVANTAGE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0717AZ

General Provider Information

NPI Number : 1669504692
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS ADVANTAGE INC
Provider Business Mailing Address
First Line : 21445 N 78TH ST
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-7718
Country : US
Telephone Number : 480-515-2157
Fax Number : 480-585-4425
Provider Business Practice Location Address
First Line : 7501 E THOMPSON PEAK PKWY
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-4525
Country : US
Telephone Number : 480-515-2157
Fax Number : 480-585-4425
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. DEBORAH ANN SMEED
Credential : OTR
Telephone Number : 480-515-2157
Provider Enumeration Date : 03/13/2007
Last Update Date : 01/31/2008

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Directions to “WELLNESS ADVANTAGE INC ” Practice Location

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