# FUNCTIONAL PATHWAYS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194214262
- **Authorized official:** DR. MELLISA FANNING OT (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (256) 684-3368

## Contact information

- **Practice address:** 12000 TURNMEYER DR SE, HUNTSVILLE, AL 35803-3358
- **Practice address phone:** (256) 684-3368
- **Mailing address:** 717 MARINA PARK DR SE, HUNTSVILLE, AL 35803-3034
- **Mailing address phone:** (256) 684-3368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 2394 | AL | Yes |

## Other

- **Enumeration date:** 05/04/2018
- **Last updated:** 05/04/2018