Provider Demographics
NPI:1720687692
Name:WELLS, JOSEPH (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:WELLS
Suffix:
Gender:M
Credentials:OTD, OTR/L
Other - Prefix:DR
Other - First Name:JOE
Other - Middle Name:
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTD, OTR/L
Mailing Address - Street 1:1440 S BYRNE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2363
Mailing Address - Country:US
Mailing Address - Phone:419-472-5350
Mailing Address - Fax:
Practice Address - Street 1:1440 S BYRNE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2363
Practice Address - Country:US
Practice Address - Phone:419-472-5350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist