Graduated: 1995
NPI: 1912201237
Practice Locations (2)
FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC
1009 OLD COUNTRY CLUB RD NW
ROANOKE, VA 240172927
8885312204
FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC
3317 OCEAN SHORE AVE
VIRGINIA BEACH, VA 234511683
8885312204
Source: CMS National Downloadable File, September 2026.