Individual
TRACI LYNN ROON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(907) 374-4911
(907) 374-4934
Mailing address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(907) 374-4911
(907) 374-4934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1106
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT6220
—
AK
Enumeration date
01/16/2007
Last updated
02/19/2013
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