OrganizationActive
Functional Foundations Pediatric Therapy PLLC
NPI 1730727116 · Pediatric Physical Therapist · Eugene, OR
Provider details
- NPI number
- 1730727116
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Sophia Patel, Owner(541) 255-6400
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3575 Donald St Ste 260
Eugene, OR 97405-4744
Phone: (541) 255-6400
Approximate (ZIP-level) locationGet directions
Mailing address
3575 Donald St Ste 260
Eugene, OR 97405-4744
Registry dates
- Enumerated
- 2019-12-16
- Last updated
- 2019-12-16
- Certified
- 2019-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.