Individual
GRACE FRANCES SUNDALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 FOUR SEASONS WAY, #11, KETCHUM, ID 83340
(208) 447-9341
Mailing address
PO BOX 4825, KETCHUM, ID 83340-4860
(208) 447-9341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6719
ID
Other
Enumeration date
08/04/2020
Last updated
06/26/2025
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