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Organization
LIVE WELL THERAPY SERVICES OT PLLC
Active
Organization
LIVE WELL THERAPY SERVICES OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TUCKMAN OTR/L (OWNER)
(347) 622-3172
Entity
Organization
Contact information
Practice address
418 BROADWAY STE N, ALBANY, NY 12207-2922
(347) 622-3172
Mailing address
418 BROADWAY STE N, ALBANY, NY 12207-2922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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