Healthcare Provider Details

I. General information

NPI: 1265765887
Provider Name (Legal Business Name): LORI ANN ZUNDEL P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2009
Last Update Date: 09/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 OVERLAND AVE STE 114
BILLINGS MT
59102-6440
US

IV. Provider business mailing address

3205 FAIRMEADOW DR
BILLINGS MT
59102-6520
US

V. Phone/Fax

Practice location:
  • Phone: 406-652-8883
  • Fax:
Mailing address:
  • Phone: 406-652-3892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number787
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number787
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: