Individual
PERRY MUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA, CPED, CFO
Contact information
Practice address
1604 GRAVES MILL RD, LYNCHBURG, VA 24502-5174
(434) 219-6125
Mailing address
1352 WILLOW OAK DR, FOREST, VA 24551-2992
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
—
225000000X
Orthotic Fitter
—
—
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
09/05/2025
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