| NPI | 1124136023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL SKIDMORE-ERICKSON Physical Therapist Owner/Administra 907-260-2679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 229) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-09-09 |