| NPI | 1407291719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS GRAY SMITH Physical Therapist Assistant 907-561-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AK 834) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |