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Michael Alan Wise, OTR

Occupational Therapist in Ormond Beach, FL. Individual provider (NPI-1).

NPI number1427009596
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1427009596
Entity type
Individual (NPI-1)
Name
Michael Alan Wise
Credential
OTR
Sex
Male
Sole proprietor
No
Enumeration date
May 13, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT1161FLYes

Practice location

495 S Nova Rd
Ormond Beach, FL 32174-8470

Phone 386-677-4300

Mailing address

315 Rio Pinar Dr
Ormond Beach, FL 32174-3707

Phone 386-290-9383

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