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Organization
BIRDLAND AK LLC
Active
Organization
BIRDLAND AK LLC
Active
Other names
Channel Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TIMI KRISTINE JOHNSON MPT (PRACTICE OWNER, PT)
(907) 419-4210
Entity
Organization
Contact information
Practice address
1601 SALMON CREEK LN, JUNEAU, AK 99801-7867
(907) 419-4210
(907) 313-1403
Mailing address
3200 DOUGLAS HWY, JUNEAU, AK 99801-1918
(303) 810-1638
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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