Organization
LIVE LIFE THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GIRMAY (PRESIDENT)
(213) 503-5710
Entity
Organization
Contact information
Practice address
10311 LEES CROSSING LN, FREDERICKSBURG, VA 22408-0290
(213) 503-5710
Mailing address
10311 LEES CROSSING LN, FREDERICKSBURG, VA 22408-0290
(213) 503-5710
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/03/2018
Last updated
03/28/2019
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