# FUNCTIONAL WELLNESS & YOGA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Functional Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851964779
- **Authorized official:** DANA LISA SOLOMON OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (857) 529-7089

## Contact information

- **Practice address:** 376 BOYLSTON ST STE 301, BOSTON, MA 02116-3827
- **Practice address phone:** (857) 529-7089
- **Mailing address:** 16 MORTON AVE, MEDFORD, MA 02155-6408
- **Mailing address phone:** (857) 529-7989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2021
- **Last updated:** 07/19/2021