Denali Mesa Corporation

NPI #1851422935 in Soldotna, Alaska

Provider Information

NPI Number: 1851422935
Entity Type: Organization
Organization Name: Denali Mesa Corporation
Primary Specialty: Physical Therapist
Enumeration Date: Mar 8, 2007
Last Updated: Jul 17, 2008

Practice Location

Address: 108 E CORRAL AVE
City: Soldotna
State: Alaska
ZIP Code: 99669-7524
Phone: (907) 260-5893

Authorized Official

Name: MR. PATRICK KINNEBREW
Title: VICE PRESIDENT
Phone: (907) 258-8618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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