Individual
CHARLES FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
811 E 14TH ST, WAYNE, NE 68787-1216
(402) 375-1922
(402) 375-1923
Mailing address
811 E 14TH ST, WAYNE, NE 68787-1216
(402) 375-1922
(402) 375-1923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2990
NE
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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