Organization
FUNCTIONAL FOUNDATIONS PEDIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA PATEL PT (EXECUTIVE DIRECTOR)
(541) 255-6400
Entity
Organization
Contact information
Practice address
3575 DONALD ST STE 300, EUGENE, OR 97405-4700
(541) 255-6400
(458) 221-4205
Mailing address
3575 DONALD ST STE 300, EUGENE, OR 97405-4700
(541) 255-6400
(458) 221-4205
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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