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1396954277
ROBERTA TIERNEY FUNKHOUSER
WOODBRIDGE, VA
NPI
1396954277
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306000205)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Ms. ROBERTA TIERNEY FUNKHOUSER LPTA
12185 CLIPPER DR
WOODBRIDGE, VA 22192-2236
Phone number: 703-496-3486
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Mailing Address
Ms. ROBERTA TIERNEY FUNKHOUSER LPTA
6339 EMBER CT
MANASSAS, VA 20112-4030
Phone number: 703-680-6642
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