Function Destination, LLC
NPI #1730605130 in Somerset, Pennsylvania
Provider Information
- NPI Number
- 1730605130
- Entity Type
- Organization
- Organization Name
- Function Destination, LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Aug 17, 2017
- Last Updated
- Aug 17, 2017
Practice Location
- Address
- 445 WESTRIDGE RD STE 301
- City
- Somerset
- State
- Pennsylvania
- ZIP Code
- 15501-1148
- Phone
- (814) 289-6759
Authorized Official
- Name
- MRS. KRISTINA L KENNELL
- Title
- MOT, OTR/L
- Phone
- (814) 289-6759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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