# FUNCTIONAL LIVING SOLUTIONS, LLC

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

## Provider details

- **NPI number:** 1902490972
- **Authorized official:** DANYELLE JOHNSON LOTR, MOT (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (337) 459-6591

## Contact information

- **Practice address:** 938 MARTEAU RD, BROUSSARD, LA 70518-7907
- **Practice address phone:** (337) 459-6591
- **Mailing address:** 938 MARTEAU RD, BROUSSARD, LA 70518-7907

## Taxonomy

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

## Other

- **Enumeration date:** 02/21/2021
- **Last updated:** 02/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1730771080 | NA | — |