Search › Mississippi › 225X00000X
Stacey Vollenweider, OTR/L
NPI 1417245648 · on the registry since 2011 · sole proprietor
Practice
- Address
- 311 N Main St
Picayune, MS 39466 - Phone
- (601) 799-4065
- Fax
- (601) 620-4117
- Organisation at this address
- Functional Therapy Llc
Fundamental Therapy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225XP0200X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi