NPI 1083739940
Jennifer L Funk, PTA
Practice location
- Address
- 1130 N Church St STE 201, Greensboro, NC 27401
- Phone
- (336) 275-1711
- Fax
- (336) 275-2286
- Mailing address
- 1200 Corporate Dr STE 400, Birmingham, AL 35242-5424
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1083739940
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Mar 2007
- Record last updated
- 13 Aug 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.