| NPI | 1851964779 |
|---|---|
| Doing Business As | FUNCTIONAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DANA LISA SOLOMON Occupational Therapist 857-529-7089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |