Provider Demographics
NPI:1588390090
Name:THERAPY WORKS OF SWFL, LLC
Entity type:Organization
Organization Name:THERAPY WORKS OF SWFL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:COLLEEN
Authorized Official - Last Name:MINOR
Authorized Official - Suffix:
Authorized Official - Credentials:MOT, OTR/L
Authorized Official - Phone:239-826-6505
Mailing Address - Street 1:7440 DANA LIN CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33917-3326
Mailing Address - Country:US
Mailing Address - Phone:239-826-6505
Mailing Address - Fax:239-230-1585
Practice Address - Street 1:7440 DANA LIN CIR
Practice Address - Street 2:
Practice Address - City:NORTH FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33917-3326
Practice Address - Country:US
Practice Address - Phone:239-826-6505
Practice Address - Fax:239-230-1585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty