Organization
SOUTHEAST ALASKA THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEORGHETTE O WALES-PLANG (OFFICE MANAGER)
(907) 957-6940
Entity
Organization
Contact information
Practice address
9109 MENDENHALL MALL RD STE 5K, JUNEAU, AK 99801-7136
(907) 957-6940
Mailing address
9109 MENDENHALL MALL RD STE 5K, JUNEAU, AK 99801-7136
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2288
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518182062
NPI
—
Enumeration date
05/31/2017
Last updated
05/31/2017
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