Tracy Lynn Lundgren, PTA

NPI #1912341546 in Bozeman, Montana

Provider Information

NPI Number: 1912341546
Entity Type: Individual
Name: Tracy Lynn Lundgren, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 25, 2013
Last Updated: Apr 25, 2013

Practice Location

Address: 1221 WEST DURSTON RD.
Address 2: GALLATIN REST HOME
City: Bozeman
State: Montana
ZIP Code: 59718
Phone: (406) 582-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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