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General NPI Number Information
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NPI Number | 1013633031
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Entity Type | Organization
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Legal Business Name | FUNCTIONAL TRANSFORMATION LLC
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 5957 CATTLEMEN LN
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City | SARASOTA
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State | FL
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Zip | 34232-6200
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Country | US
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Telephone | 941-830-3749
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Fax | 941-460-4494
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Provider Business Mailing Address
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Address Line | 5957 CATTLEMEN LN
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City | SARASOTA
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State | FL
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Zip | 34232-6200
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Country | US
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Telephone | 941-371-1185
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Fax | 941-460-4494
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Authorized Official
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Title or Position | OWNER PROVIDER
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Name | JAMES FERRARA
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Credential | OTR/L
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Telephone | 941-830-3749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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