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 |