| NPI | 1871514752 |
|---|---|
| Doing Business As | SOUTHERN THERAPY AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | AMANDA BENNETT Billing 386-312-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2025-09-11 |