| NPI | 1639588056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL PETTENGILL FRENCH Owner 907-344-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK PT 0418) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |