| NPI | 1649590530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTLAND JON REGER Owner 907-382-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: AK 943621) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |