Intentional Wellness

NPI #1205168697 in Longwood, Florida

Provider Information

NPI Number: 1205168697
Entity Type: Organization
Organization Name: Intentional Wellness
Primary Specialty: Physical Therapist
Enumeration Date: Feb 9, 2010
Last Updated: Feb 9, 2010

Practice Location

Address: 2139 W STATE ROAD 434
Address 2: UNIT 101
City: Longwood
State: Florida
ZIP Code: 32779-5019
Phone: (407) 774-7744

Authorized Official

Name: MRS. ROBYN JENNIFER ROSE, MPT,CST-D
Title: MANAGING MEMBER/OWNER
Phone: (407) 774-7744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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