Organization
INDEPENDENT LIVING THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANJU SHARMA (OWNER)
(972) 832-8254
Entity
Organization
Contact information
Practice address
7504 BREAKERS LN, PLANO, TX 75025-3602
(972) 832-8254
Mailing address
7504 BREAKERS LN, PLANO, TX 75025-3602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/24/2019
Last updated
09/30/2019
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