Individual
TARA J SCOGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1275 SADLER WAY, SUITE 201, FAIRBANKS, AK 99701-3175
(907) 374-0992
Mailing address
1917 ABBOTT RD STE 200, ANCHORAGE, AK 99507-3449
(907) 743-8218
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
120113
AK
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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