| NPI | 1528199254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SPECK Physical Therapist 907-747-5861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: AK 306628) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: AK 306628) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-02-10 |