Individual
ALLISON JANE LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 GLENHAVEN DR, ALTON, IL 62002-6759
(618) 978-8080
Mailing address
115 CATALPA DR, GRANITE CITY, IL 62040-6728
(618) 978-8080
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009024
IL
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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