Individual
BRACKON W LUNDY
Active
Individual
BRACKON W LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05068
KS
225100000X
Physical Therapist
2015020034
MO
Other
Enumeration date
06/04/2015
Last updated
10/09/2023
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