Individual
MR. JUSTIN ALAN FUNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2829 LITITZ PIKE, LANCASTER, PA 17601-3321
(717) 431-2746
Mailing address
1810 CRESTON DR, LEBANON, PA 17046-1873
(717) 926-9709
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE008288
PA
225200000X
Physical Therapy Assistant
TEI002553
PA
Other
Enumeration date
10/15/2009
Last updated
01/22/2021
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