Axiom
Organization Active NPI Physical Disabilities Residential Treatment Facility · Sanford, FL
NPI 1780137455 · NPPES record last updated Jul 29, 2016
Key facts
- NPI
- 1780137455
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Disabilities Residential Treatment Facility 320700000X
- License
- OT1201 (FL)
- Legal business name
- AXIOM
- Practice address
- 2400 River Tree Cir
Sanford, FL 32771-8332 - Phone
- (407) 252-1021
- NPI assigned
- Jul 29, 2016
- Organization subpart
- No
Authorized official
- Name
- Denise Fulmore
- Title
- Otr/L
- Phone
- (407) 252-1021
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | OT1201 | FL | Yes |
Addresses
Primary practice location
2400 River Tree Cir
Sanford, FL 32771-8332
Mailing address
2400 River Tree Cir
Sanford, FL 32771-8332
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All providers in Sanford, FL · Physical Disabilities Residential Treatment Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.