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Organization
FUNCTION FIRST THERAPY
Active
Organization
FUNCTION FIRST THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY NICOLE INGRAM OTR/L, OTD (OWNER AND CEO)
(434) 334-4236
Entity
Organization
Contact information
Practice address
180 PARKSIDE LN, ROCKY MOUNT, VA 24151-2747
(434) 334-4236
Mailing address
180 PARKSIDE LN, ROCKY MOUNT, VA 24151-2747
(434) 334-4236
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
—
NULL
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
Primary
—
NULL
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
NULL
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XR0403X
Driving and Community Mobility Occupational Therapist
—
NULL
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
Other
Enumeration date
08/14/2023
Last updated
04/05/2024
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