Individual
PHYLLIS PLOUDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1343 G ST, SUITE 100, ANCHORAGE, AK 99501-4354
(907) 748-0022
(907) 277-0022
Mailing address
PO BOX 91292, ANCHORAGE, AK 99509-1292
(907) 748-0022
(907) 277-0022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1529
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780901793
GROUP PROVIDER
AK
Enumeration date
03/25/2007
Last updated
09/22/2011
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