NPI 1124816004 · live from the CMS NPI Registry
Aalwm Clinic PLLC
Clinic/Center, Rehabilitation in Altamonte Springs, FL. National Provider Identifier 1124816004, active.
NPI record
| NPI | 1124816004 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Rehabilitation 261QR0400X |
| Practice location | 1180 Spring Centre South Blvd Ste 355, Altamonte Springs, FL 32714 |
| Practice phone | 407-312-4613 |
| Enumerated | April 29, 2025 |
| Last updated | September 25, 2025 |
| Authorized official | Phyleischa Mayne-Owen, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Physical Therapist | 225100000X | — |
| Clinic/Center, Rehabilitation primary | 261QR0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.