| NPI | 1013318047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD POLLOCK President 907-335-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 1092) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK 1448) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2017-01-27 |