| NPI | 1811584436 |
|---|---|
| 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 |