National Provider Identifier
Function Flip, LLC
Function Flip, LLC is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Bloomfield, NJ and a listed phone number of (973) 415-9405.
Source: public NPPES record, last updated April 02, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1356193577
- Provider Type
- Organization
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- April 02, 2024
- Last Updated
- April 02, 2024
Practice Location
- 197 Ashland Ave # 1
- Bloomfield, NJ 07003-2418
Phone: (973) 415-9405
Authorized Official
- Name
- Dr. Ellen James
- Title
- CEO, Occupational Therapist
- Credentials
- EDD, OTR/L
- Phone
- (973) 415-9405
Specialties
- Pediatric Occupational Therapist (225XP0200X)
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Full Record
- NPI
- 1356193577
- Entity Type
- Organization
- Organization Name
- Function Flip, LLC
- Mailing Street Address
- 197 Ashland Ave # 1
- Mailing City
- Bloomfield
- Mailing State
- NJ
- Mailing ZIP Code
- 07003-2418
- Mailing Country
- US
- Mailing Phone
- (973) 415-9405
- Practice Street Address
- 197 Ashland Ave # 1
- Practice City
- Bloomfield
- Practice State
- NJ
- Practice ZIP Code
- 07003-2418
- Practice Country
- US
- Practice Phone
- (973) 415-9405
- Enumeration Date
- April 02, 2024
- Last Updated
- April 02, 2024
- Authorized Official Last Name
- James
- Authorized Official First Name
- Ellen
- Authorized Official Title
- CEO, Occupational Therapist
- Authorized Official Phone
- (973) 415-9405
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- EDD, OTR/L
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- April 02, 2024
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)