Individual
KEITH POORBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, SCD, OCS, FAAOMP
Contact information
Practice address
984 N MERIDIAN PL, # A, WASILLA, AK 99654-7215
(907) 631-4029
(907) 631-4128
Mailing address
984 NORTH MERIDIAN PL, A, WASILLA, AK 99654-7215
(907) 631-4029
(907) 631-4128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1581
AK
Other
Enumeration date
12/27/2006
Last updated
07/21/2022
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