Organization
LIVING INDEPENDENTLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E. PUSSER JR. OTR/L (OWNER/CEO)
(330) 774-2714
Entity
Organization
Contact information
Practice address
4536 SIMON RD, BOARDMAN, OH 44512-1730
(330) 774-2714
Mailing address
4536 SIMON RD, BOARDMAN, OH 44512-1730
(330) 774-2714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004859
OH
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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