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Organization

FUNCTIONAL FRIENDS THERAPY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BROOKE MALOTT OTD, OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(937) 620-7012
Entity
Organization

Contact information

Practice address
9095 WASHINGTON CHURCH RD, MIAMISBURG, OH 45342-4428
(937) 620-7012
Mailing address
460 WELLINGTON WAY, SPRINGBORO, OH 45066-9307
(937) 620-7012

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
11/07/2025
Last updated
11/07/2025
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