Organization
FUNDAMENTAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA CARR BRADDY MOTR/L (OCCUPATIONAL THERAPIST)
(601) 916-8329
Entity
Organization
Contact information
Practice address
311 N MAIN ST, PICAYUNE, MS 39466-3313
(601) 799-4065
(601) 620-4117
Mailing address
20 NEWT MITCHELL RD, PICAYUNE, MS 39466-9224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT2316
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05587048
—
MS
Enumeration date
02/25/2014
Last updated
01/10/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us