| NPI | 1700445061 |
|---|---|
| Doing Business As | MARY ANN GHOSN, PT |
| Entity Type | Organization |
| Authorized Contact | MARY ANN GHOSN Owner 907-231-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2021-12-20 |