Liana L Funk, PTA

NPI #1609849645 in Gresham, Oregon

Provider Information

NPI Number: 1609849645
Entity Type: Individual
Name: Liana L Funk, PTA
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Feb 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7927 SE ORIENT DR
City: Gresham
State: Oregon
ZIP Code: 97080
Phone: (503) 663-0332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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