Provider Demographics
NPI:1114506516
Name:WOMENS INTEGRATIVE HEALING
Entity Type:Organization
Organization Name:WOMENS INTEGRATIVE HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:256-364-9098
Mailing Address - Street 1:5218 RIVER PARK VILLAS DR
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-1402
Mailing Address - Country:US
Mailing Address - Phone:256-364-9098
Mailing Address - Fax:
Practice Address - Street 1:5218 RIVER PARK VILLAS DR
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092-1402
Practice Address - Country:US
Practice Address - Phone:256-364-9098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty