Organization
FUNCTIONAL THERAPIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON CAMPBELL OTR/L (COO/OWNER)
(678) 684-8245
Entity
Organization
Contact information
Practice address
80 LEGION DR, BUFORD, GA 30518-2692
(678) 684-8244
Mailing address
80 LEGION DR, BUFORD, GA 30518-2692
(678) 684-8244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/17/2021
Last updated
08/09/2021
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