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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY ROBERT LUNDAHL, B.S.

Active Sole Proprietor

MR. GARY ROBERT LUNDAHL, B.S. is a Physical Therapy Assistant healthcare provider located in WILLIAMSON, New York. NPI 1588946123 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WILLIAMSON, NY

Registration Details

NPI Number
1588946123
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2011 (14.945282572899 yrs)
Last Updated
Sep 13, 2011
License
020455 (NY)
Sole Proprietor
Yes

Practice Information

Address
4148 MILLER ST
WILLIAMSON, NY, 145899713
Browse NY providers · Browse ZIP 14589
Phone
3155899668
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WILLIAMSON, NY

Name Credential NPI
MRS. MARISA WREN P.T. 1871691303
DR. JESSICA HAINSWORTH PT, DPT 1619579661
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.