Organization
DENALI MESA CORPORATION
Active
Other names
Frontier Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK KINNEBREW (VICE PRESIDENT)
(907) 258-8618
Entity
Organization
Contact information
Practice address
260 CAVIAR ST, STE A, KENAI, AK 99611-7738
(907) 258-8618
(907) 563-9291
Mailing address
907 E DOWLING RD, STE 26, ANCHORAGE, AK 99518-1424
(907) 258-8618
(907) 563-9291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193978502
DEPARTMENT OF LABOR
AK
05
—
TC6852
—
AK
Enumeration date
03/12/2007
Last updated
07/16/2008
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