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Organization
FUNCTIONAL FREEDOM REHAB., INC.
Active
Organization
FUNCTIONAL FREEDOM REHAB., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CAROL WORRELL OTR/L (OWNER, OCCUPATIONAL THERAPIST)
(276) 601-2838
Entity
Organization
Contact information
Practice address
813 JOY RANCH RD, WOODLAWN, VA 24381-1305
(276) 233-3584
Mailing address
813 JOY RANCH RD STE A, WOODLAWN, VA 24381-1305
(276) 601-2838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
12/28/2018
Last updated
11/28/2020
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