National Provider Identifier

Nancy L Funderburk, OTR/L

Nancy L Funderburk, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 377-4660.

NPI 1144516758Fairport, NYOccupational Therapist

Profile Overview

NPI
1144516758
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
June 22, 2011
Last Updated
June 22, 2011

Practice Location

  • 41 Oconnor RD
  • Fairport, NY 14450-1327

Phone: (585) 377-4660

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1144516758
Entity Type
Individual
Last Name
Funderburk
First Name
Nancy
Middle Name
L
Name Prefix
Mrs.
Credential
OTR/L
Mailing Street Address
41 Oconnor RD
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1327
Mailing Country
US
Mailing Phone
(585) 377-4660
Practice Street Address
41 Oconnor RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1327
Practice Country
US
Practice Phone
(585) 377-4660
Enumeration Date
June 22, 2011
Last Updated
June 22, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)