Individual
NAOMI GRAVDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1225 W SPRUCE AVE, WASILLA, AK 99654-5326
(907) 352-1200
Mailing address
PO BOX 876728, WASILLA, AK 99687-6728
(907) 315-6088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PHYP331
AK
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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