| NPI | 1013240175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SKIDMORE Owner 907-346-4096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 783) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: AK 783) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2021-06-22 |