| NPI | 1457979551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA LYNN COOPER Owner/Physical Therapist 907-252-2516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |