Individual
JOSHUA COLE FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOTR/L
Contact information
Practice address
5618 BURNAGE CT, CHESTERFIELD, VA 23832-4051
(804) 539-1835
Mailing address
5618 BURNAGE CT, CHESTERFIELD, VA 23832-4051
(804) 539-1835
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003730
VA
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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