Provider Demographics
NPI:1225388648
Name:ACCESSIBLE MOBILITY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ACCESSIBLE MOBILITY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CRISALLI
Authorized Official - Suffix:
Authorized Official - Credentials:OT/L
Authorized Official - Phone:352-278-8087
Mailing Address - Street 1:2056 NW 100TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-4012
Mailing Address - Country:US
Mailing Address - Phone:352-278-8087
Mailing Address - Fax:
Practice Address - Street 1:2056 NW 100TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-4012
Practice Address - Country:US
Practice Address - Phone:352-278-8087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT1945253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care