| NPI | 1780711846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L REISCHACH Treasurer, Secretary 907-776-5784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 911) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |