Funkhouser, Roberta Tierney
Funkhouser, Roberta Tierney is an individual health care provider with primary practice located at 12185 Clipper Dr , Woodbridge VA 22192-2236. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Funkhouser, Roberta Tierney can be contacted via phone (703) 496-3486.Contact Information
Primary practice address
12185 Clipper Dr
Woodbridge VA 22192-2236
Phone: (703) 496-3486
Fax: (703) 496-3487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2306000205 | Virginia |
Profile Details
| NPI number | 1396954277 |
|---|---|
| LBN Legal business name | Funkhouser, Roberta Tierney |
| Credentials | LPTA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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