Organization
FUNCTIONAL FOUNDATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA S JONES OTR/L (OCCUPATIONAL THERAPIST)
(419) 367-0503
Entity
Organization
Contact information
Practice address
15996 CHAMBERLAIN RD, BOWLING GREEN, OH 43402-9583
(419) 367-0503
Mailing address
15996 CHAMBERLAIN RD, BOWLING GREEN, OH 43402-9583
(419) 367-0503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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