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NPI Code Detail

MEDICARE: FUNCTIONAL FUTURES, LLC

MEDICARE: FUNCTIONAL FUTURES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1982358503
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUNCTIONAL FUTURES, LLC
Provider Business Mailing Address
First Line : PO BOX 2484
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85252-2484
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13819 N 42ND PL
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-5847
Country : US
Telephone Number : 480-428-4766
Fax Number :
Authorized Official
Title or Position : CO-OWNER/COO
Name : DEVON TURNBULL
Credential : PT
Telephone Number : 602-448-8785
Provider Enumeration Date : 02/11/2022
Last Update Date : 02/11/2022

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Directions to “FUNCTIONAL FUTURES, LLC ” Practice Location

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