Organization
FUNCTIONAL FREEDOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KOURTNEY RANDSDORP OTR/L (OCCUPATIONAL THERAPIST)
(717) 572-7966
Entity
Organization
Contact information
Practice address
105 HERITAGE RD., LANCASTER, PA 17602
(717) 572-7966
Mailing address
105 HERITAGE RD., LANCASTER, PA 17602
(717) 572-7966
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012565
PA
225X00000X
Occupational Therapist
OC013759
PA
Other
Enumeration date
04/19/2018
Last updated
11/21/2023
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