| NPI | 1477002616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MERRILL Owner 907-276-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AK 516) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2019-05-14 |