BLAKE JON LUNDGREN

AIKEN, SC
NPI1578109153
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ME  5520)
Enumeration Date2019-11-19
Last Update Date2023-02-08
Business Address
Dr. BLAKE JON LUNDGREN DPT
1397 SILVER BLUFF RD STE 100
AIKEN, SC 29803-9784
Phone number: 803-220-1073
Mailing Address
Dr. BLAKE JON LUNDGREN DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206