SHANE OMER

PALMER, AK
NPI1487238721
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AK  194449)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2021-05-12
Last Update Date2022-11-16
Business Address
SHANE OMER DPT
304 W EVERGREEN AVE STE 101
PALMER, AK 99645-6970
Phone number: 907-745-8686
Mailing Address
SHANE OMER DPT
512 GOLD KEY LN
PALMER, AK 99645-6178
Phone number: 907-350-6907