Organization
IDYLLWILD COMMUNITY ACUPUNCTURE & BODYWORK, INC.
Active
Other names
Moving Lively
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE LIVELY OT (MANAGER)
(859) 396-0469
Entity
Organization
Contact information
Practice address
54445 N CIRCLE DRIVE, SUITE A, IDYLLWILD, CA 92549
(859) 396-0469
Mailing address
PO BOX 2421, IDYLLWILD, CA 92549-2421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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