NPI 1275984114

Funworks Pediatric Therapy

Organisation Early Intervention Provider Agency South Point, OH

Practice location

Address: 408 Washington St, South Point, OH 45680-9660
Phone: (910) 689-5071
Fax: (888) 398-8146
Mailing address: PO Box 22, Minford, OH 45653-0022

Authorised official

Name: Shawna Lea McCormick
Title: Owner/ Physical Therapist
Phone: (910) 689-5071

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 003960 (KY)

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Registry record

NPI: 1275984114
Entity type: Organization
NPI issued: 22 Jun 2016
Record last updated: 19 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.