| Functional Therapy Llc | |
|
311 N Main St, Picayune, MS 39466-3313 | |
| (601) 799-4065 | |
| (601) 620-4117 |
| Full Name | Functional Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 311 N Main St, Picayune, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417235490 | NPI | - | NPPES |
| 01458505 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT1249 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Therapy Llc 7533 Crooked Stick Dr, Diamondhead, MS 39525-3895 Ph: (228) 255-8031 | Functional Therapy Llc 311 N Main St, Picayune, MS 39466-3313 Ph: (601) 799-4065 |
Heidi Dryden Molaison, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1620 Highway 11 N Ste E, Picayune, MS 39466 Phone: 769-242-2626 Fax: 769-242-2685 | |
Mrs. Rosary Bahman Voorhies, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3008 Woods Rd, Picayune, MS 39466 Phone: 504-717-5972 | |
Casey Lafontaine, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Highway 11 N Ste C, Picayune, MS 39466 Phone: 769-242-2626 Fax: 769-242-2685 | |
Mrs. Stacey S Vollenweider, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 N Main St, Picayune, MS 39466 Phone: 601-799-4065 Fax: 601-620-4117 | |
Mrs. Sara C Braddy, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 N Main St, Picayune, MS 39466 Phone: 601-799-4065 Fax: 601-620-4117 | |
Lisa Richardson Hesson, OTR-L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 722 W Canal St, Picayune, MS 39466 Phone: 601-799-4065 Fax: 601-799-4064 |