Organization
FORWARD LIVING THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA A CHAPMAN OTD, OTR/L (REGISTERED AGENT/OWNER)
(239) 266-5362
Entity
Organization
Contact information
Practice address
4600 SUMMERLIN RD, # C-2272, FORT MYERS, FL 33919-3005
(239) 266-5362
Mailing address
4600 SUMMERLIN RD, # C-2272, FORT MYERS, FL 33919-3005
(239) 266-5362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
04/08/2021
Last updated
01/18/2023
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