| NPI | 1952717092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA DAWN FERGUSON-WHEELER Owner 907-315-7949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: AK 1004364) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |