Graduated: 2001
NPI: 1396998076
Practice Locations (2)
FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC
1600 WESTWOOD AVE
RICHMOND, VA 232274622
8885312204
POWERBACK REHABILITATION LLC
845 1ST COLONIAL RD
VIRGINIA BEACH, VA 234516160
7573219292
Source: CMS National Downloadable File, September 2026.