Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY SAMOGE-WISMER, OTR
Active Sole ProprietorMARY SAMOGE-WISMER, OTR is a Skilled Nursing Facility healthcare provider located in PORT CHARLOTTE, Florida. NPI 1033586060 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · PORT CHARLOTTE, FL
Registration Details
- NPI Number
- 1033586060
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2015 (10.783595434109 yrs)
- Last Updated
- Aug 25, 2015
- License
-
OT9256 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18480 COCHRAN BLVDPORT CHARLOTTE, FL, 339483379Browse FL providers · Browse ZIP 33948
- Phone
- 9417434700
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.