Individual
LINDSEY NICHOL FUNICIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13801 ST FRANCIS BLVD STE 200, MIDLOTHIAN, VA 23114-3206
(804) 320-4604
(804) 287-2786
Mailing address
1115 BOULDERS PKWY STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212891
VA
Other
Enumeration date
06/14/2019
Last updated
10/26/2020
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