MICHAEL ALAN WISE

ORMOND BEACH, FL
NPI1427009596
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT1161)
Enumeration Date2006-05-13
Last Update Date2007-07-08
Business Address
-- MICHAEL ALAN WISE OTR
495 S NOVA RD
ORMOND BEACH, FL 32174-8470
Phone number: 386-677-4300
Mailing Address
-- MICHAEL ALAN WISE OTR
315 RIO PINAR DR
ORMOND BEACH, FL 32174-3707
Phone number: 386-290-9383
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