Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DIANE BRACKEN FUNDERBURK, DPT
Active Sole ProprietorMRS. DIANE BRACKEN FUNDERBURK, DPT is a Physical Therapy Assistant healthcare provider located in GREENWOOD, South Carolina. NPI 1689779183 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GREENWOOD, SC
Registration Details
- NPI Number
- 1689779183
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2006 (19.878773279696 yrs)
- Last Updated
- Jul 17, 2015
- License
-
913 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
437 E CAMBRIDGE AVEGREENWOOD, SC, 296462244Browse SC providers · Browse ZIP 29646
- Phone
- 8643303000
- Fax
- 8643887318
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GREENWOOD, SC
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL PHILLIP VAHJEN | PT | 1598745291 |
| LOUANN C. COLLINS | RPT | 1336160720 |
| MARLON LIBUNAO | — | 1265540249 |
| MISS MELINDA LEE ROMOSCA | RPT | 1558469015 |
| MRS. PHYLLIS L. FARREN | MS, PT | 1902981194 |
| MRS. MICHELE R PHILLIPS | PTA | 1679634364 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.