| NPI | 1902196645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY S ZOLLINGER Physical Therapist 907-830-1348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 1535) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2023-06-23 |