Individual
SHELLEY LUNDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
235 HOPE ST, OMAC BUILDING, PROVIDENCE, RI 02912-9090
(401) 744-7436
(401) 863-1156
Mailing address
38 MANHATTAN ST, PROVIDENCE, RI 02904-1117
(401) 744-7436
(401) 863-1156
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00202
RI
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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