MEDICARE: WELL WITHIN PELVIC CARE

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	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1982426250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL WITHIN PELVIC CARE

Provider Business Mailing Address
First Line	:	4311 SCHOOL HOUSE CMNS
Second Line	:
City	:	HARRISBURG
State	:	NC
Zip	:	28075-7510
Country	:	US
Telephone Number	:	336-362-6346
Fax Number	:

Provider Business Practice Location Address
First Line	:	5354 HACKBERRY LN SW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-3926
Country	:	US
Telephone Number	:	336-362-6346
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAMARA ELIZABETH WILLIAMS
Credential	:	MS, OTR/L
Telephone Number	:	336-362-6346

Provider Enumeration Date	:	10/29/2024
Last Update Date	:	10/29/2024

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Directions to “WELL WITHIN PELVIC CARE ” Practice Location

Language	Start Address	Practice Location

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