Organization
ADAPTIVE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LIANE TALLEY HOPPS OTR/L, CAPS (OWNER, OPERATOR)
(360) 209-4199
Entity
Organization
Contact information
Practice address
805 CARLYON AVE SE, OLYMPIA, WA 98501-3501
(360) 209-4199
(360) 346-1024
Mailing address
805 CARLYON AVE SE, OLYMPIA, WA 98501-3501
(360) 209-4199
(360) 346-1024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OT 00003587
WA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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