Doctor Name: | MR. CHARLES M FUNK |
NPI Number: | 1649433038 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT6558 |
Business Practice Address: | 9122 Town Center Pkwy Ste 102 Lakewood Ranch, FL - 342025050 |
Business Phone Number: | 9413733910 |
Business Fax Number: | 9413469646 |
Mailing Address: | 11219 Coralbean Dr, LAKEWOOD RANCH |
State: | FL |
Postal Code: | 342022894 |
Phone Number: | 9419189575 |
Fax Number: | 9413469646 |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 07/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT6558 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |