Organization
LIVE WELL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE TROMBLEY OTR/L (OCCUPATIONAL THERAPIST)
(616) 540-7213
Entity
Organization
Contact information
Practice address
5497 W ROSEBUD CT SE, KENTWOOD, MI 49512-9446
(616) 540-7213
(616) 607-0033
Mailing address
5497 W ROSEBUD CT SE, KENTWOOD, MI 49512-9446
(616) 540-7213
(616) 607-0033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008682
MI
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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