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Organization
LIVELIFE THERAPY SOLUTIONS
Active
Organization
LIVELIFE THERAPY SOLUTIONS
Active
Other names
Technology for HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ANN REDEPENNING OTR (PROGRAM DIRECTOR/PRESIDENT)
(612) 968-0832
Entity
Organization
Contact information
Practice address
8100 PENN AVE S STE 137, BLOOMINGTON, MN 55431-1325
(612) 968-0832
(952) 921-8334
Mailing address
8100 PENN AVE S STE 137, BLOOMINGTON, MN 55431-1325
(612) 968-0832
(952) 921-8334
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
02/06/2020
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