| NPI | 1972850774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY POMEROY Partner/Provider 907-569-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AK 977621) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |