Individual
JOANNE K FOSDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11470 BUSINESS BLVD, SUITE 200, EAGLE RIVER, AK 99577-7780
(907) 696-5678
(907) 696-2248
Mailing address
11470 BUSINESS BLVD, SUITE 200, EAGLE RIVER, AK 99577-7780
(907) 696-5678
(907) 696-2248
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
235
AK
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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