IDA MARIELKE FUNKE

MEDFORD, OR
NPI1851872428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: OR  02851)
Enumeration Date2018-08-22
Last Update Date2018-08-22
Business Address
IDA MARIELKE FUNKE PT
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 541-732-5028
Mailing Address
IDA MARIELKE FUNKE PT
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 541-732-5028