| NPI | 1205364551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEORGHETTE O WALES-PLANG Office Manager 907-957-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: AK 2288) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |