Fairbanks Physical Therapy LLC

NPI #1922396357 in Fairbanks, Alaska

Provider Information

NPI Number: 1922396357
Entity Type: Organization
Organization Name: Fairbanks Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 19, 2011
Last Updated: Jul 19, 2011

Practice Location

Address: 1755 WESTWOOD WAY
Address 2: SUITE 7
City: Fairbanks
State: Alaska
ZIP Code: 99709-4064
Phone: (907) 479-0623

Authorized Official

Name: JEFFREY S GORDON, PT
Title: OWNER
Phone: (907) 479-0623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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