Individual
MRS. AUDREY JANE LUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5659 STADIUM DR STE A, KALAMAZOO, MI 49009-1932
(269) 372-0436
(269) 372-0483
Mailing address
5659 STADIUM DR STE A, KALAMAZOO, MI 49009-1932
(269) 372-0436
(269) 372-0483
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001388
MI
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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