| NPI | 1396223921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YICHEN CHUNG Owner 907-360-3648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AK 106666) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |