Organization
SPECTRUM FUNCTIONAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN LUNNY PT, DPT (OWNER)
(802) 318-1744
Entity
Organization
Contact information
Practice address
28 EDISON GRN APT 2, DORCHESTER, MA 02125-4783
(802) 318-1744
Mailing address
28 EDISON GRN APT 2, DORCHESTER, MA 02125-4783
(802) 318-1744
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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