| NPI | 1851706675 |
|---|---|
| Former Name | KIMBERLY LUNDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 20957) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: DC 871793) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2023-12-20 |