# ENLIVEN REHABILITATION SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ENLIVEN REHABILITATION SERVICES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255986691
- **Legal business name:** ENLIVEN REHABILITATION SERVICES LLC
- **Authorized official:** BRIAN C GOODE (CEO)
- **Authorized official phone:** (603) 490-9725

## Contact information

- **Practice address:** 2189 SILAS DEANE HWY, ROCKY HILL, CT 06067-2324
- **Practice address phone:** (860) 900-0174
- **Mailing address:** 2189 SILAS DEANE HWY, ROCKY HILL, CT 06067-2324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 08/02/2019
- **Last updated:** 08/02/2019