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Individual

DAVID JOSIAH LUNDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
501 S MADISON ST STE L, WEBB CITY, MO 64870-2426
(417) 673-2156
(417) 673-2176
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2020029837
MO
225200000X
Physical Therapy Assistant
3315
OK

Other

Enumeration date
01/17/2022
Last updated
01/17/2022
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