Individual
TRACY LYNN LUNDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1221 WEST DURSTON RD., GALLATIN REST HOME, BOZEMAN, MT 59718
(406) 582-3300
Mailing address
114 GLACIER MOUNTAIN LN, BOZEMAN, MT 59718-8324
(406) 599-6781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTP-PTA-LIC-4401
MT
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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