EMILY ANN VAN GORP

FAIRBANKS, AK
NPI1194800102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AK  1790)
Enumeration Date2006-10-26
Last Update Date2007-07-08
Business Address
-- EMILY ANN VAN GORP PT
751 OLD RICHARDSON HWY # 202
FAIRBANKS, AK 99701
Phone number: 907-455-4401
Mailing Address
-- EMILY ANN VAN GORP PT
FILE 50469
LOS ANGELES, CA 90074-0469
Phone number: 530-778-0200