MEDICARE: THERAPY WORKS OF SWFL, LLC

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
1	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1588390090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY WORKS OF SWFL, LLC

Provider Business Mailing Address
First Line	:	7440 DANA LIN CIR
Second Line	:
City	:	NORTH FT MYERS
State	:	FL
Zip	:	33917-3326
Country	:	US
Telephone Number	:	239-826-6505
Fax Number	:	239-230-1585

Provider Business Practice Location Address
First Line	:	7440 DANA LIN CIR
Second Line	:
City	:	NORTH FT MYERS
State	:	FL
Zip	:	33917-3326
Country	:	US
Telephone Number	:	239-826-6505
Fax Number	:	239-230-1585

Authorized Official
Title or Position	:	OWNER
Name	:	MEGAN COLLEEN MINOR
Credential	:	MOT, OTR/L
Telephone Number	:	239-826-6505

Provider Enumeration Date	:	07/27/2022
Last Update Date	:	07/27/2022

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Directions to “THERAPY WORKS OF SWFL, LLC ” Practice Location

Language	Start Address	Practice Location

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