Organization
FUNCTION FIRST THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN POORE MOT, OTR/L (OCCUPATIONAL THERAPIST)
(573) 579-4461
Entity
Organization
Contact information
Practice address
6613 LACONIA DR, SAINT LOUIS, MO 63123-2621
(573) 579-4461
Mailing address
6613 LACONIA DR, SAINT LOUIS, MO 63123-2621
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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