National Provider Identifier
Gary Robert Lundahl, B.S.
Gary Robert Lundahl, B.S. is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamson, NY and a listed phone number of (315) 589-9668.
Profile Overview
- NPI
- 1588946123
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 09, 2011
- Last Updated
- September 13, 2011
Practice Location
- 4148 Miller St
- Williamson, NY 14589-9713
Phone: (315) 589-9668
Mailing Address
- 1245 Sagebrook Way
- Webster, NY 14580-9416
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1588946123
- Entity Type
- Individual
- Last Name
- Lundahl
- First Name
- Gary
- Middle Name
- Robert
- Name Prefix
- Mr.
- Credential
- B.S.
- Mailing Street Address
- 1245 Sagebrook Way
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-9416
- Mailing Country
- US
- Mailing Phone
- (585) 216-9991
- Practice Street Address
- 4148 Miller St
- Practice City
- Williamson
- Practice State
- NY
- Practice ZIP Code
- 14589-9713
- Practice Country
- US
- Practice Phone
- (315) 589-9668
- Enumeration Date
- September 09, 2011
- Last Updated
- September 13, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)