| NPI | 1962778613 |
|---|---|
| Doing Business As | INDEPENDENT LIVING DESIGN, LLC |
| Entity Type | Organization |
| Authorized Contact | SUSAN D MASON Co Owner 615-415-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 5223) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 2065) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |