Functional Roots LLC
NPI #1447068739 in Glenshaw, Pennsylvania
Provider Information
- NPI Number
- 1447068739
- Entity Type
- Organization
- Organization Name
- Functional Roots LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Dec 19, 2024
- Last Updated
- Jan 17, 2025
Practice Location
- Address
- 233 DELAWARE DR
- City
- Glenshaw
- State
- Pennsylvania
- ZIP Code
- 15116-1715
- Phone
- (717) 808-6169
Authorized Official
- Name
- JAMIE BAUMGARDNER
- Title
- FOUNDER/OCCUPATIONAL THERAPIST
- Phone
- (717) 808-6169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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