Individual
BETH A LUNDBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
7333 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6280
(260) 435-6230
(260) 435-7747
Mailing address
2423 PRINCETON AVE, FORT WAYNE, IN 46808-1915
(260) 471-6336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003635
IN
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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