Individual
MISS MELISSA MARY LUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
606 W MAIN ST, NORWICH, CT 06360-6087
(860) 886-2042
Mailing address
2 ROUNDTREE DR, ANSONIA, CT 06401-2736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007667
CT
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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