Organization
FUNCTIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY S VOLLENWEIDER OTR/L (OWNER)
(228) 216-9996
Entity
Organization
Contact information
Practice address
311 N MAIN ST, PICAYUNE, MS 39466-3313
(601) 799-4065
(601) 620-4117
Mailing address
7533 CROOKED STICK DR, DIAMONDHEAD, MS 39525-3895
(228) 255-8031
(601) 620-4117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1249
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01458505
—
MS
Enumeration date
07/25/2011
Last updated
12/31/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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