Healthcare Provider Details

I. General information

NPI: 1306458096
Provider Name (Legal Business Name): MY LIFE OCCUPATIONAL THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2020
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 HIGHWAY 188 SUITE 9
IRVINGTON AL
36544-3393
US

IV. Provider business mailing address

9420 HIGHWAY 188 STE 9
IRVINGTON AL
36544-3393
US

V. Phone/Fax

Practice location:
  • Phone: 251-824-2515
  • Fax: 251-650-1908
Mailing address:
  • Phone: 251-824-2515
  • Fax: 251-650-1908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: LISA PARNELL
Title or Position: OWNER
Credential: OT
Phone: 251-604-5489