# LIVE WELL OCCUPATIONAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Live Well Community Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134750508
- **Authorized official:** DANIELLE MARIE JENSEN OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (302) 593-6282

## Contact information

- **Practice address:** 30772 SOUTHVIEW DR STE 140, EVERGREEN, CO 80439-2214
- **Practice address phone:** (303) 704-4578
- **Mailing address:** 30772 SOUTHVIEW DR STE 140, EVERGREEN, CO 80439-2214
- **Mailing address phone:** (303) 704-4578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2020
- **Last updated:** 05/06/2020