Provider Demographics
NPI:1326781675
Name:TOUCH OF WELLNESS REHAB LLC
Entity Type:Organization
Organization Name:TOUCH OF WELLNESS REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, DHA, CLT, MLD
Authorized Official - Phone:561-298-5603
Mailing Address - Street 1:PO BOX 222205
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33422-2205
Mailing Address - Country:US
Mailing Address - Phone:561-298-5603
Mailing Address - Fax:
Practice Address - Street 1:20283 STATE ROAD 7 STE 307
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6901
Practice Address - Country:US
Practice Address - Phone:561-298-5603
Practice Address - Fax:561-925-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-14
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP600003716350Medicaid