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Organization

LIVELIFE THERAPY SOLUTIONS

Active
Other names
Technology for HOME
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN ANN REDEPENNING OTR (PROGRAM DIRECTOR/PRESIDENT)
(612) 968-0832
Entity
Organization

Contact information

Practice address
8100 PENN AVE S STE 137, BLOOMINGTON, MN 55431-1325
(612) 968-0832
(952) 921-8334
Mailing address
8100 PENN AVE S STE 137, BLOOMINGTON, MN 55431-1325
(612) 968-0832
(952) 921-8334

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
12/09/2019
Last updated
02/06/2020
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