| Functional Movement Llc | |
|
124 Stadium Ct, Ponte Vedra Beach, FL 32082-3152 | |
| (757) 651-0183 | |
| Not Available |
| Full Name | Functional Movement Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 124 Stadium Ct, Ponte Vedra Beach, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083256747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Movement Llc 124 Stadium Ct, Ponte Vedra Beach, FL 32082-3152 Ph: (757) 651-0183 | Functional Movement Llc 124 Stadium Ct, Ponte Vedra Beach, FL 32082-3152 Ph: (757) 651-0183 |
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