Functional Home Ot LLC

NPI #1043837503 in Carmel, Maine

Provider Information

NPI Number
1043837503
Entity Type
Organization
Organization Name
Functional Home Ot LLC
Primary Specialty
Occupational Therapist - Gerontology
Enumeration Date
Jul 1, 2020
Last Updated
Jun 5, 2023

Practice Location

Address
255 FIVE RD
City
Carmel
State
Maine
ZIP Code
04419-3203
Phone
(207) 548-5913

Authorized Official

Name
MELISSA ANNE LOPEZ, OTR/L
Title
OWNER
Phone
(207) 548-5913

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - GerontologyGerontology

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