Functional Therapist LLC

NPI #1366031908 in Buford, Georgia

Provider Information

NPI Number: 1366031908
Entity Type: Organization
Organization Name: Functional Therapist LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 17, 2021
Last Updated: Aug 9, 2021

Practice Location

Address: 80 LEGION DR
City: Buford
State: Georgia
ZIP Code: 30518-2692
Phone: (678) 684-8244

Authorized Official

Name: ALISON CAMPBELL, OTR/L
Title: COO/OWNER
Phone: (678) 684-8245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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