Individual
DANELL SUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
490 HIGHWAY 101, FLORENCE, OR 97439-7635
(541) 999-5618
Mailing address
93246 BASSONETTE RD, DEADWOOD, OR 97430-9708
(541) 999-5618
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
13092
OR
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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