Living Independently, LLC

NPI #1881888410 in Boardman, Ohio

Provider Information

NPI Number: 1881888410
Entity Type: Organization
Organization Name: Living Independently, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 27, 2007
Last Updated: Aug 27, 2007

Practice Location

Address: 4536 SIMON RD
City: Boardman
State: Ohio
ZIP Code: 44512-1730
Phone: (330) 774-2714

Authorized Official

Name: MR. WILLIAM E. PUSSER JR., OTR/L
Title: OWNER/CEO
Phone: (330) 774-2714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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