Organization
FULL LIFE MOBILE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KWANGME PARK OTR/L (OCCUPATIONAL THERAPIST)
(216) 544-1715
Entity
Organization
Contact information
Practice address
3138 LAURA LN, WESTLAKE, OH 44145-5524
(216) 544-1715
Mailing address
3138 LAURA LN, WESTLAKE, OH 44145-5524
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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