Organization
FUNCTIONAL DIFFERENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY TARA WALDEN MS, OTR/L (CEO)
(919) 480-7008
Entity
Organization
Contact information
Practice address
851 S BECKFORD DR STE A, HENDERSON, NC 27536-5910
(919) 480-7008
(919) 882-8502
Mailing address
PO BOX 28256, RALEIGH, NC 27611-8256
(919) 480-7008
(919) 882-8502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/31/2022
Last updated
10/03/2024
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