| NPI | 1801437090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE DAVIDSHOFER Physical Therapist 907-617-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |