Organization · Type 2 NPI
Mobile Lymphedema Clinic LLC
Occupational Therapist · Fort Walton Beach, FL
Practice location
804 Pine Alley St
Fort Walton Beach, FL 32547-1216
Fax (888) 857-4412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner | 225400000X | None listed |
| Occupational Therapist Primary | 225X00000X | None listed |
| Environmental Modification Occupational Therapist | 225XE0001X | None listed |
| Ergonomics Occupational Therapist | 225XE1200X | None listed |
| Gerontology Occupational Therapist | 225XG0600X | None listed |
| Hand Occupational Therapist | 225XH1200X | None listed |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | None listed |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
Another provider at this address
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About NPI 1104706837
Mobile Lymphedema Clinic LLC's National Provider Identifier is 1104706837, issued on Sep 4, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Feb 18, 2026.