Organization
FUNCTIONAL FUN, LLC
Active
Other names
Jill Stanton. OTR/L
Organization subpart
No
Provider details
NPI number
Authorized official
JILL A. STANTON OTR/L (OWNER/ CEO)
(678) 524-1262
Entity
Organization
Contact information
Practice address
20 POINTE NORTH DR STE 109, CARTERSVILLE, GA 30120-7955
(678) 524-1262
Mailing address
20 POINTE NORTH DR STE 109, CARTERSVILLE, GA 30120-7955
(678) 524-1262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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