Organization
PAN ALASKA PHYSICAL THERAPY
Active
Parent organization
PAN ALASKA PHYSICAL THERAPY
Other names
Eagle Center Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAN ALASKA PHYSICAL THERAPY
Authorized official
JOANNE FOSDICK (OWNER)
(907) 696-5678
Entity
Organization
Contact information
Practice address
11470 BUSINESS BLVD # 200, EAGLE RIVER, AK 99577-7721
(907) 696-5678
Mailing address
11470 BUSINESS BLVD # 200, EAGLE RIVER, AK 99577-7721
(907) 696-5678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
167831
AK
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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