Individual
JASON JOHN MUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
315 W 5TH ST, STORM LAKE, IA 50588-1743
(712) 732-7724
(712) 732-5153
Mailing address
315 W 5TH ST, STORM LAKE, IA 50588-1743
(712) 732-7724
(712) 732-5153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004565
IA
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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