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General NPI Number Information
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NPI Number | 1548125180
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Entity Type | Organization
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Legal Business Name | LIVE WELL OCCUPATIONAL THERAPY
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 3019 S 7TH ST W
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City | MISSOULA
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State | MT
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Zip | 59804
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Country | US
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Telephone | 406-404-6118
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Fax |
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Provider Business Mailing Address
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Address Line | 3019 S 7TH ST W
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City | MISSOULA
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State | MT
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Zip | 59804
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Country | US
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Telephone | 406-404-6118
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | TIFFANY BROWN
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Credential | OTR/L
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Telephone | 406-404-6118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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