Individual
JOHN FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
774 FAIRMOUNT AVE, JAMESTOWN, NY 14701
(716) 665-1166
(866) 902-1160
Mailing address
774 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2609
(716) 665-1166
(866) 902-1160
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009393
NY
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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