Individual
ALAN FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 S 5TH ST, ALLENTOWN, PA 18103-3307
(610) 776-3100
Mailing address
304 MAPLE CT, ALBURTIS, PA 18011-9594
(512) 922-5373
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1075481
TX
225X00000X
Occupational Therapist
113643
TX
225X00000X
Occupational Therapist
Primary
OC011865
PA
Other
Enumeration date
01/06/2006
Last updated
10/19/2016
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