| NPI | 1750499224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLIE W REDISKE Owner 907-235-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: AK 1134) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2013-03-22 |