NPI 1407847478
Functional Therapy Center, INC.
Practice location
- Address
- 499 Gloster Creek Vlg Suite I-3, Tupelo, MS 38801-4600
- Phone
- (662) 844-4471
- Fax
- (662) 844-4472
Authorised official
- Name
- Nikolas Doyle Carnathan
- Title
- President
- Phone
- (662) 844-4471
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1407847478
- Entity type
- Organization
- NPI issued
- 31 Oct 2005
- Record last updated
- 22 Aug 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.