# AGING IN PLACE MOBILE THERAPY LLC

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

## Provider details

- **NPI number:** 1902555972
- **Authorized official:** SALIMATA CISSE OTR/L (MANAGING MEMBER/OWNER)
- **Authorized official phone:** (774) 226-6713

## Contact information

- **Practice address:** 352 DANA FARMS, FAIRHAVEN, MA 02719-3360
- **Practice address phone:** (774) 226-6713
- **Mailing address:** 352 DANA FARMS, FAIRHAVEN, MA 02719-3360
- **Mailing address phone:** (774) 226-6713
- **Mailing address fax:** (774) 204-4752

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2022
- **Last updated:** 04/06/2022