Provider Demographics
NPI:1053523639
Name:MAHER WELLNESS AND REHABILITATION
Entity type:Organization
Organization Name:MAHER WELLNESS AND REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-865-4680
Mailing Address - Street 1:13910 JOG RD
Mailing Address - Street 2:101
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-5907
Mailing Address - Country:US
Mailing Address - Phone:561-865-4680
Mailing Address - Fax:561-865-4681
Practice Address - Street 1:13910 JOG RD
Practice Address - Street 2:101
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-5907
Practice Address - Country:US
Practice Address - Phone:561-865-4680
Practice Address - Fax:561-865-4681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8601111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty