Individual
DINA K LUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
700B OKOMA DR, OMAK, WA 98841-9593
(509) 557-4199
(866) 299-1497
Mailing address
700B OKOMA DR, OMAK, WA 98841-9593
(509) 557-4199
(866) 299-1497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00003457
WA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00003457
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0260667
L&I
WA
05
—
8420861
—
WA
01
—
G8934909
MEDICARE
WA
Enumeration date
07/17/2006
Last updated
08/14/2015
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