Individual
JOANNA ELIZABETH OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
601 E PIONEER AVE STE 218, HOMER, AK 99603-7694
(907) 235-7473
Mailing address
PO BOX 71, HOMER, AK 99603-0071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PHYP2878
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1647401
—
AK
Enumeration date
04/17/2018
Last updated
01/25/2021
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