Prosperous Living LLC

NPI #1336548783 in Pelham, Alabama

Provider Information

NPI Number: 1336548783
Entity Type: Organization
Organization Name: Prosperous Living LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 21, 2014
Last Updated: Aug 21, 2014

Practice Location

Address: 1974 CHANDALAR DR
Address 2: SUITE D
City: Pelham
State: Alabama
ZIP Code: 35124-4340
Phone: (205) 358-3515

Authorized Official

Name: STACIE JACKSON, OTR/L
Title: OCCUPATIONAL THERAPIST/PRESIDENT
Phone: (205) 266-5394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Gerontology — Gerontology	225XG0600X
Occupational Therapist - Low Vision — Low Vision	225XL0004X
Occupational Therapist	225X00000X	Primary

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