Mary Lundgren
Physical Therapist in Orange City, IA. Individual provider (NPI-1).
NPI number1679733851
StatusActive
Last updated in NPPESJun 11, 2008
Details
- NPI
- 1679733851
- Entity type
- Individual (NPI-1)
- Name
- Mary Lundgren
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2008
- Last updated
- Jun 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1159 | IA | Yes |
Other names
- Mary Lou Kruse (Former Name)
Practice location
1000 Lincoln Cir SeSuite 400
Orange City, IA 51041-1862
Phone 712-737-5234 · Fax 712-737-5287
Mailing address
1000 Lincoln Cir SeSuite 400
Orange City, IA 51041-1862
Phone 712-737-5234 · Fax 712-737-5287
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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