Individual
SHELBY RAE LUNDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
895 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(972) 762-9964
Mailing address
1495 S TECH LN APT E103, MERIDIAN, ID 83642-8220
(972) 762-9964
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT-1712
ID
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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