# ACTIVE BODYZ THERAPY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760162333
- **Authorized official:** ANN M MULLIGAN OTD, OTR/L (OWNER)
- **Authorized official phone:** (401) 394-9019

## Contact information

- **Practice address:** 12 MONEY HILL ROAD, CHEPACHET, RI 02814
- **Practice address phone:** (401) 394-9019
- **Mailing address:** 190 W IRONSTONE RD, BURRILLVILLE, RI 02830-1626
- **Mailing address phone:** (401) 258-7343

## Taxonomy

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

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 07/19/2023