Individual
JACK LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
334 E BAY ST UNIT J, CHARLESTON, SC 29401-1592
(843) 203-6562
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 682-8840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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