Provider Demographics
NPI:1811775158
Name:OASIS THERAPY AND WELLNESS LLC
Entity type:Organization
Organization Name:OASIS THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:DESERAE
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, OTD
Authorized Official - Phone:757-288-1967
Mailing Address - Street 1:210 N ROSS ST APT O
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-4843
Mailing Address - Country:US
Mailing Address - Phone:757-288-1967
Mailing Address - Fax:
Practice Address - Street 1:210 N ROSS ST APT O
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-4843
Practice Address - Country:US
Practice Address - Phone:757-288-1967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty