The Fun In Function Llc
Pediatric Occupational Therapist in Chattanooga, TN(View on Map)
Legal Business Name
The Fun In Function Llc
NPI Number
1689208480
NPI Type
Organization
Enumeration Date
03/02/2020
Specialties
(Taxonomies)Code
225XP0200X
224Z00000X
235Z00000X
Primary Taxonomy
Yes
No
No
Contact
Information
Purpose
Mailing
Location
Address
6142 SHALLOWFORD RD STE 104
6142 SHALLOWFORD RD STE 104
City
Chattanooga
Chattanooga
State
TN
TN
Postal Code
37421-7216
37421-7216
Country
US
US
Telephone Number
(423) 463-0683
(423) 463-0683
Authorized Official
Name
Tressor Shadel
Title or Position
BUSINESS MANAGER
Telephone Number
(423) 463-0683
Identifiers
Identifier
Q059922
Identifier State
TN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/19/2021
Provider Address
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