Organization
INDEPENDENT LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE GOTFRIED GUISE (DIRECTOR)
(813) 963-6923
Entity
Organization
Contact information
Practice address
6508 GUNN HWY, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Mailing address
6508 GUNN HWY, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
OT4289
FL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024476200
—
FL
05
—
811496000
—
FL
05
—
884287600
—
FL
Enumeration date
05/19/2006
Last updated
07/24/2023
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