Therapy West 2, LLC

NPI #1366141293 in Maitland, Florida

Provider Information

NPI Number: 1366141293
Entity Type: Organization
Organization Name: Therapy West 2, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 28, 2023
Last Updated: Jun 5, 2024

Practice Location

Address: 400 S ORLANDO AVE STE 204
City: Maitland
State: Florida
ZIP Code: 32751-5644
Phone: (407) 400-3026

Authorized Official

Name: DOMINIQUE KIEFER
Title: OWNER
Phone: (407) 900-3026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X
Clinic/Center - Rehabilitation — Rehabilitation	261QR0400X
Occupational Therapist	225X00000X	Primary

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