Individual
CARLA JOYCE GOERANSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
641 W WILLOUGHBY AVE, SUITE 206, JUNEAU, AK 99801-1731
(907) 586-5951
(907) 586-8017
Mailing address
2441 TURNAGAIN PKWY, ANCHORAGE, AK 99517-1168
(907) 243-2904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 0169
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0169
—
AK
Enumeration date
01/30/2007
Last updated
07/09/2007
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