# LIFE SKILLS LAB OT

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

## Provider details

- **NPI number:** 1790675189
- **Authorized official:** DR. RABYN NEILSON OTD, OTR/L (OWNER, OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (803) 389-0962

## Contact information

- **Practice address:** 180 WILDLIFE VW CT N, RICHMOND HILL, GA 31324-0266
- **Practice address phone:** (803) 389-0962
- **Mailing address:** 180 WILDLIFE VW CT N, RICHMOND HILL, GA 31324-0266
- **Mailing address phone:** (803) 389-0962

## Taxonomy

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

## Other

- **Enumeration date:** 07/07/2025
- **Last updated:** 07/07/2025