| NPI | 1508174541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH MARIE PAGENKOPF Physical Therapist 907-617-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AK 826) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |