ISMAEL LACANLALE

ANCHORAGE, AK
NPI1942991930
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AK  202494)
Enumeration Date2023-05-19
Last Update Date2023-06-21
Business Address
ISMAEL LACANLALE PTA
4100 LAKE OTIS PKWY STE 106
ANCHORAGE, AK 99508-5230
Phone number: 907-563-4115
Mailing Address
ISMAEL LACANLALE PTA
4400 W LAKE CIR
ANCHORAGE, AK 99502-4910
Phone number: 907-887-9802