| NPI | 1700074382 |
|---|---|
| Doing Business As | SEAWOLF PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | KORRE LEIGH PIEPER President 907-677-9653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: HI 2030) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2021-08-09 |