| NPI | 1609994052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND E. BEARD Practice Manager 907-677-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |