# LIVEWELL OCCUPATIONAL THERAPY SERVICES, PLLC

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

## Provider details

- **NPI number:** 1811363724
- **Authorized official:** MS. MILENA ALICANDRO O.T.R/L (SOLE MBR, OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (347) 466-1529

## Contact information

- **Practice address:** 1999 MARCUS AVE STE M15, LAKE SUCCESS, NY 11042-1033
- **Practice address phone:** (516) 488-8808
- **Mailing address:** 24222 54TH AVE, DOUGLASTON, NY 11362-1507
- **Mailing address phone:** (347) 466-1529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 004958-1 | NY | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/14/2015
- **Last updated:** 09/26/2018