Organization · Type 2 NPI
Fundamental Therapy LLC
Specialist · Picayune, MS
NPI number
1659796860
Active
Practice location
311 N Main St
Picayune, MS 39466-3313
Fax (601) 620-4117
Mailing address
20 Newt Mitchell Rd
Picayune, MS 39466-9224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | OT2316 (MS) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
- Functional Therapy LLCOccupational Therapist Picayune, MS NPI 1417235490
- Karly Mitchell Slade, COTA/LOccupational Therapy Assistant Picayune, MS NPI 1043769458
- Sara C. Braddy, MOTR/LOccupational Therapist Picayune, MS NPI 1710312442
- Stacey S. Vollenweider, OTR/LOccupational Therapist Picayune, MS NPI 1417245648
Other specialist providers in Picayune
About NPI 1659796860
Fundamental Therapy LLC's National Provider Identifier is 1659796860, issued on Feb 25, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Picayune, MS. The record was last updated on Jan 10, 2015.