Backcountry Therapeutics LLC

NPI #1184022550 in Wasilla, Alaska

Provider Information

NPI Number: 1184022550
Entity Type: Organization
Organization Name: Backcountry Therapeutics LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 16, 2014
Last Updated: Mar 11, 2016

Practice Location

Address: 619 S KNIK GOOSE BAY RD
City: Wasilla
State: Alaska
ZIP Code: 99654-8075
Phone: (907) 982-3897

Authorized Official

Name: MS. ANDREA LEUTZINGER, MOT
Title: OWNER, PROVIDER
Phone: (907) 982-3897

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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