Organization
MY LIVEABILITY, LLC
Active
Other names
My LiveABility,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLENE E JOHNSON OTD, OTR/L (OWNER)
(615) 944-5649
Entity
Organization
Contact information
Practice address
6480 PEYTONSVILLE ARNO RD, COLLEGE GROVE, TN 37046-9133
(615) 944-5649
(615) 814-0213
Mailing address
6480 PEYTONSVILLE ARNO RD, COLLEGE GROVE, TN 37046-9133
(615) 944-5649
(615) 814-0213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
04/02/2021
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