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NPI Code Detail

MEDICARE: GET WELL THERAPY, LLC

MEDICARE: GET WELL THERAPY, 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
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1QL7OTHERFLBLUE CROSS
2QM7OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1992791891
Entity Type Code : Organization
Provider Name (Legal Business Name) : GET WELL THERAPY, LLC
Provider Business Mailing Address
First Line : PO BOX 511201
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33951-1201
Country : US
Telephone Number : 941-258-3525
Fax Number : 941-258-3526
Provider Business Practice Location Address
First Line : 3161 HARBOR BLVD
Second Line : SUITE B
City : PORT CHARLOTTE
State : FL
Zip : 33952-6754
Country : US
Telephone Number : 941-258-3525
Fax Number : 941-258-3526
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : MS. CHRISTINE ANN ROBERTS
Credential : MS
Telephone Number : 941-258-3525
Provider Enumeration Date : 09/26/2005
Last Update Date : 09/20/2012

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Directions to “GET WELL THERAPY, LLC ” Practice Location

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