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Individual
MICHAEL THOMAS MUNDRY I
Active
Individual
MICHAEL THOMAS MUNDRY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
40QA01092400
NJ
2251X0800X
Orthopedic Physical Therapist
40QA01092400
NJ
Other
Enumeration date
03/14/2007
Last updated
09/11/2025
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