NPI | 1811584436 |
---|---|
Doing Business As | CHANNEL PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | TIMI KRISTINE JOHNSON Practice Owner, PT 907-419-4210 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Enumeration Date | 2020-12-29 |
Last Update Date | 2020-12-29 |