SearchVirginia225200000X

Roberta Funkhouser, LPTA

NPI 1396954277 · on the registry since 2007

Practice

Address
12185 Clipper Dr
Woodbridge, VA 22192
Phone
(703) 496-3486
Fax
(703) 496-3487
Clinicians at this address
7

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia