Individual
GRANT M LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5905 N MAYFAIR ST STE 100, SPOKANE, WA 99208-1127
(509) 462-8010
Mailing address
5905 N MAYFAIR ST STE 100, SPOKANE, WA 99208-1127
(509) 462-8010
(509) 462-8011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60725120
WA
Other
Enumeration date
06/03/2011
Last updated
08/22/2024
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