| Idyllwild Community Acupuncture & Bodywork, Inc. | |
|
54445 N Circle Drive, Suite A, Idyllwild, CA 92549 | |
| (859) 396-0469 | |
| Not Available |
| Full Name | Idyllwild Community Acupuncture & Bodywork, Inc. |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 54445 N Circle Drive, Suite A, Idyllwild, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205427242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Julie Lively |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093304362 PECOS PAC ID: 9335558279 Enrollment ID: I20210506000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Idyllwild Community Acupuncture & Bodywork, Inc. Po Box 2421, Idyllwild, CA 92549-2421 Ph: () - | Idyllwild Community Acupuncture & Bodywork, Inc. 54445 N Circle Drive, Suite A, Idyllwild, CA 92549 Ph: (859) 396-0469 |
Julie Lively, MS, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 54445 N Circle Drive, Idyllwild, CA 92549 Phone: 859-396-0469 | |
Susan Anne Freed, MOT, OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25370 Fernleaf Dr, Idyllwild, CA 92549 Phone: 951-468-4227 |