Graduated: 2000
NPI: 1801137500
Practice Locations (2)
FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC
1400 ENTERPRISE DR
LYNCHBURG, VA 245025768
8885312204
FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC
12052 N SHORE DR
RESTON, VA 201904969
8885312204
Source: CMS National Downloadable File, September 2026.