NPI | 1295761625 |
---|---|
Former Legal Business Name | ALYESKA PHYSICAL THERAPY, INC. |
Entity Type | Organization |
Authorized Contact | RUSSELL W BURLINGAME President 907-357-2578 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AK PT 1175) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2014-06-23 |