FUNCTIONAL THERAPY LLC

PICAYUNE, MS
NPI1417235490
Entity TypeOrganization
Authorized ContactSTACEY S VOLLENWEIDER
Owner
228-216-9996
Organization Subpart ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT1249)
Enumeration Date2011-07-25
Last Update Date2014-12-31
Business Address
FUNCTIONAL THERAPY LLC
311 N MAIN ST
PICAYUNE, MS 39466-3313
Phone number: 601-799-4065
Mailing Address
FUNCTIONAL THERAPY LLC
7533 CROOKED STICK DR
DIAMONDHEAD, MS 39525-3895
Phone number: 228-255-8031