Cody Funk

NPI #1689388944 in Lewiston, Idaho

Provider Information

NPI Number
1689388944
Entity Type
Individual
Name
Cody Funk
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist - Pediatrics
Enumeration Date
Jan 11, 2023
Last Updated
Jan 11, 2023

Practice Location

Address
2902 SEAPORT DR
State
Idaho
ZIP Code
83501-8619
Phone
(208) 852-6705

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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