Live to the Max LLC

NPI #1003693870 in Canton, Georgia

Provider Information

NPI Number
1003693870
Entity Type
Organization
Organization Name
Live to the Max LLC
Primary Specialty
Occupational Therapist
Enumeration Date
Sep 13, 2023
Last Updated
Oct 7, 2023

Practice Location

Address
206 BRIDGEWATER TRL
City
Canton
State
Georgia
ZIP Code
30115-4566
Phone
(229) 894-1353

Authorized Official

Name
KATHERINE ROSE LILES, MHS, OTR/L
Title
OWNER
Phone
(229) 894-1353

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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