| NPI | 1467523779 |
|---|---|
| Doing Business As | WASILLA PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOANNE K. FOSDICK Owner 907-376-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 235) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-10-08 |