Individual
MS. NANCY LOUISE LUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
370 WHITESTONE COR, STROUDSBURG, PA 18360-7193
(570) 476-1600
Mailing address
PO BOX 2256, ALBRIGHTSVILLE, PA 18210-2256
(570) 215-4215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TEI002702
LICENSE NUMBER
PA
Enumeration date
11/06/2017
Last updated
06/16/2018
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