Functional Foundations LLC
Occupational Therapist in Bowling Green, OH. Organization (NPI-2).
NPI number1750003935
StatusActive
Last updated in NPPESSep 14, 2022
Details
- NPI
- 1750003935
- Entity type
- Organization (NPI-2)
- Legal business name
- Functional Foundations LLC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2022
- Certification date
- Sep 14, 2022
- Last updated
- Sep 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Practice location
15996 Chamberlain RdBowling Green, OH 43402-9583
Phone 419-367-0503
Mailing address
15996 Chamberlain RdBowling Green, OH 43402-9583
Phone 419-367-0503
Authorized official
Virginia S Jones
Occupational Therapist
4193670503
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