Provider Demographics
NPI:1558393033
Name:REHAB WELLNESS WORKS, INC.,
Entity Type:Organization
Organization Name:REHAB WELLNESS WORKS, INC.,
Other - Org Name:TAMARA L. MILLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:LOUTRICIA
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, OTR/L, ATP
Authorized Official - Phone:678-592-9810
Mailing Address - Street 1:3346 WAGGONER PL
Mailing Address - Street 2:
Mailing Address - City:REX
Mailing Address - State:GA
Mailing Address - Zip Code:30273-5215
Mailing Address - Country:US
Mailing Address - Phone:678-592-9810
Mailing Address - Fax:678-565-9657
Practice Address - Street 1:3346 WAGGONER PL
Practice Address - Street 2:
Practice Address - City:REX
Practice Address - State:GA
Practice Address - Zip Code:30273-5215
Practice Address - Country:US
Practice Address - Phone:678-592-9810
Practice Address - Fax:678-565-9657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225400000X, 225CA2400X
GAOT003050225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Not Answered225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology PractitionerGroup - Single Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty