| NPI | 1649577578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FISHER ROTHERY Administrative Executive 907-225-7808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 842) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2019-10-03 |