Individual
BRANDIS L GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1211 GRANARY AVE, # 3, BELLINGHAM, WA 98225-3089
(360) 318-5478
(360) 485-0505
Mailing address
1211 GRANARY AVE, # 3, BELLINGHAM, WA 98225-3089
(360) 318-5478
(360) 485-0505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60244355
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40473700
—
WI
Enumeration date
05/24/2006
Last updated
08/21/2021
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