| NPI | 1548446297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI LYNN ROON Owner 907-674-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: AK 308963) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |