Organization
FUNCTIONALOT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAILA STERN (MANAGING PARTNER)
(299) 275-5872
Entity
Organization
Contact information
Practice address
20 ASHFORD RD, JACKSON, NJ 08527-1702
(732) 209-0901
Mailing address
20 ASHFORD RD, JACKSON, NJ 08527-1702
(732) 209-0901
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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