Professional Case Management of Southwest Fl

NPI #1912187345 in Venice, Florida

Provider Information

NPI Number: 1912187345
Entity Type: Organization
Organization Name: Professional Case Management of Southwest Fl
Primary Specialty: Occupational Therapist - Neurorehabilitation
Enumeration Date: Nov 14, 2007
Last Updated: Aug 18, 2011

Practice Location

Address: 5865 HARRISON RD
City: Venice
State: Florida
ZIP Code: 34293-6835
Phone: (941) 228-3562

Authorized Official

Name: MS. SALLY E THIMM, OTR/L
Title: DIRECTOR
Phone: (941) 228-3562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Neurorehabilitation — Neurorehabilitation	225XN1300X	Primary

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