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NPI Code Detail

MEDICARE: LIVING WHOLE WELLNESS COMPANY

MEDICARE: LIVING WHOLE WELLNESS COMPANY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1235061300
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVING WHOLE WELLNESS COMPANY
Provider Business Mailing Address
First Line : 1376 W CLIFTON BLVD
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-3302
Country : US
Telephone Number : 216-256-6245
Fax Number :
Provider Business Practice Location Address
First Line : 1376 W CLIFTON BLVD
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-3302
Country : US
Telephone Number : 216-256-6245
Fax Number :
Authorized Official
Title or Position : OCCUPATIONAL THERAPIST
Name : CYNTHIA LYNN MCCORMACK
Credential : OT/L, LMT, BHSC
Telephone Number : 216-256-6245
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

Similar Medicare Providers

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Practice Location Address:
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Directions to “LIVING WHOLE WELLNESS COMPANY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.