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Organization
FUNCTIONAL FOUNDATIONS PEDIATRIC THERAPY PLLC
Active
Organization
FUNCTIONAL FOUNDATIONS PEDIATRIC THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA PATEL DPT (OWNER)
(541) 255-6400
Entity
Organization
Contact information
Practice address
3575 DONALD ST STE 260, EUGENE, OR 97405-4744
(541) 255-6400
Mailing address
3575 DONALD ST STE 260, EUGENE, OR 97405-4744
(541) 255-6400
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
NULL
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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