Organization
ALEISHA LUNDSTROM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEISHA LUNDSTROM MPT (OWNER/PHYSICAL THERAPIST)
(505) 270-9733
Entity
Organization
Contact information
Practice address
98 RODEO GROUND ROAD, GRANTS, NM 87020, GRANTS, NM 87020
(505) 270-9733
Mailing address
PO BOX 27, GRANTS, NM 87020-0027
(505) 270-9733
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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