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Organization
FUNCTIONAL DESIGNS & SOLUTIONS LLC
Active
Organization
FUNCTIONAL DESIGNS & SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RAE SLETTEN (OTR/CEO)
(608) 408-8692
Entity
Organization
Contact information
Practice address
N9581 FENSKE ROAD, DALTON, WI 53926
(608) 408-8692
Mailing address
N9581 FENSKE ROAD, DALTON, WI 53926
(608) 408-8692
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
224ZE0001X
Environmental Modification Occupational Therapy Assistant
—
NULL
224ZE0001X
Environmental Modification Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XE0001X
Environmental Modification Occupational Therapist
Primary
—
NULL
225XE0001X
Environmental Modification Occupational Therapist
Primary
—
—
Other
Enumeration date
08/08/2020
Last updated
05/24/2021
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