Provider Demographics
NPI:1679336390
Name:FUNCTION AND FLOW OCCUPATIONAL THERAPY PLLC
Entity Type:Organization
Organization Name:FUNCTION AND FLOW OCCUPATIONAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAYMER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, OTD
Authorized Official - Phone:502-488-0587
Mailing Address - Street 1:223 THOMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:LEBANON JUNCTION
Mailing Address - State:KY
Mailing Address - Zip Code:40150-8513
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:223 THOMPSON AVE
Practice Address - Street 2:
Practice Address - City:LEBANON JUNCTION
Practice Address - State:KY
Practice Address - Zip Code:40150-8513
Practice Address - Country:US
Practice Address - Phone:502-488-0587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation