Functional Designs & Solutions LLC
Organization Active NPI Environmental Modification Occupational Therapist · Dalton, WI
NPI 1104436658 · NPPES record last updated May 24, 2021
Key facts
- NPI
- 1104436658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Environmental Modification Occupational Therapist 225XE0001X
- Legal business name
- FUNCTIONAL DESIGNS & SOLUTIONS LLC
- Practice address
- N9581 Fenske Road
Dalton, WI 53926 - Phone
- (608) 408-8692
- NPI assigned
- Aug 8, 2020
- Organization subpart
- No
Authorized official
- Name
- Nicole Rae Sletten
- Title
- Otr/Ceo
- Phone
- (608) 408-8692
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant |
224Z00000X | |||
| Environmental Modification Occupational Therapy Assistant |
224ZE0001X | |||
| Occupational Therapist |
225X00000X | |||
| Environmental Modification Occupational Therapist |
225XE0001X | Yes |
Addresses
Primary practice location
N9581 Fenske Road
Dalton, WI 53926
Mailing address
N9581 Fenske Road
Dalton, WI 53926
Phone (608) 408-8692
Other practice location 1
416 E Edgewater St
Portage, WI 53901-2218
Phone (608) 408-8692
Other providers in Dalton, WI
- Divine Savior Healthcare
- Rebecca J Kirchberg
- Shirley Ann Kubiak
- Mary S Manz
- Laurel D Rew
- Christine Ann Roberts
All providers in Dalton, WI · Environmental Modification Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.