Graduated: 2024
NPI: 1487489035
Practice Locations (3)
LIFE HOME THERAPY LLC
70 S ORANGE AVE, SUITE 220
LIVINGSTON, NJ 070394920
9177518706
FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC
12052 N SHORE DR
RESTON, VA 201904969
8885312204
FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC
2133 MONTGOMERY AVE
WOODBRIDGE, VA 221912655
8885312204
Source: CMS National Downloadable File, September 2026.