Organization
LIVEWELL OCCUPATIONAL THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MILENA ALICANDRO O.T.R/L (SOLE MBR, OCCUPATIONAL THERAPIST)
(347) 466-1529
Entity
Organization
Contact information
Practice address
1999 MARCUS AVE STE M15, LAKE SUCCESS, NY 11042-1033
(516) 488-8808
Mailing address
24222 54TH AVE, DOUGLASTON, NY 11362-1507
(347) 466-1529
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
004958-1
NY
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/14/2015
Last updated
09/26/2018
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