| NPI | 1134253446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALEB JOHNSON Executive Director 907-352-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 403503) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-12-02 |