Organization
ASPEN PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS T WELLS JR. P.T. (OWNER)
(907) 262-2596
Entity
Organization
Contact information
Practice address
221 W. MARYDALE AVE, SOLDOTNA, AK 99669-7540
(907) 262-2596
Mailing address
PO BOX 3763, SOLDOTNA, AK 99669-3763
(907) 262-2596
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
695
AK
Other
Enumeration date
06/26/2007
Last updated
12/21/2007
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