| NPI | 1790192433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON VP Finance 907-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AK 20467) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |