Individual
GRETCHEN GAY GUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3317 12TH ST, LEWISTON, ID 83501-5308
(208) 748-3258
Mailing address
3608 MASTERS DR, CLARKSTON, WA 99403-1725
(509) 552-1482
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1002
ID
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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