Mrs. Bronwen Lundgren
Massage Therapist
2975 Bobcat Village Center Rd Unit 300
North Port
, Florida 34288-4604
Mrs. Bronwen Lundgren
Massage Therapist
2975 Bobcat Village Center Rd Unit 300
North Port
, Florida 34288-4604
(941) 236-6196
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mrs. Bronwen Lundgren
- 3737 El Jobean Rd # L4
- Port Charlotte, FL
- Zip : 33953-5611
- Phone : (941) 236-6196
Second Address
- Mrs. Bronwen Lundgren
- 2975 Bobcat Village Center Rd Unit 300
- North Port, FL
- Zip : 34288-4604
- Phone : (941) 236-6196
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA89184 | FL |
National Provider Identifier
| NPI | 1013494665 |
|---|---|
| Provider Name | Mrs. Bronwen Lundgren |
| First Address | Port Charlotte, FL 33953-5611 |
| Second Address | North Port, FL 34288-4604 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2018 |
| Last Update Date | 26/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.