| NPI | 1558539122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI LYNN ROON Physical Therapist/Owner 907-374-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AK 1106) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2017-03-31 |