-- MARYANN FUNK -- PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1962693549- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 5601 SE 122ND AVE, PORTLAND, OR, 972364601
- Phone
- (503) 761-3181
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #7182