Pan Alaska Physical Therapy

NPI #1225226632 in Eagle River, Alaska

Provider Information

NPI Number: 1225226632
Entity Type: Organization
Organization Name: Pan Alaska Physical Therapy
Subpart: Yes (part of a larger organization)
Parent Organization: PAN ALASKA PHYSICAL THERAPY
Primary Specialty: Physical Therapist
Enumeration Date: Oct 10, 2007
Last Updated: Oct 10, 2007

Practice Location

Address: 11470 BUSINESS BLVD # 200
City: Eagle River
State: Alaska
ZIP Code: 99577-7721
Phone: (907) 696-5678

Authorized Official

Name: JOANNE FOSDICK
Title: OWNER
Phone: (907) 696-5678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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