Individual
KATHLEEN LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2651 IRVINE AVE, SUITE 128, COSTA MESA, CA 92627-4628
(508) 851-0237
Mailing address
2651 IRVINE AVE, SUITE 128, COSTA MESA, CA 92627-4628
(508) 851-0237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11176
CA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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