| NPI | 1245443662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA L WARREN Owner, Therapist 907-644-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 1612) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: AK 88) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2019-11-05 |