Organization
LIVING WELL OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BOYINGTON (MANAGER)
(262) 226-6265
Entity
Organization
Contact information
Practice address
910 ELM GROVE RD STE 28, ELM GROVE, WI 53122-2531
(262) 737-2377
Mailing address
910 ELM GROVE RD STE 28, ELM GROVE, WI 53122-2531
(262) 737-2377
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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