Organization
FUNCTIONAL ACCESSIBLE LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAUNDRA LIGHT GIBBONS OTR/L, CAPS (OWNER)
(216) 659-1098
Entity
Organization
Contact information
Practice address
14221 REDDINGTON AVE, MAPLE HEIGHTS, OH 44137-3209
(216) 659-1098
Mailing address
3695 GREEN RD UNIT 221048, BEACHWOOD, OH 44122-7953
(216) 659-1098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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