Individual
SHAUNA BOQUIST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3801 UNIVERSITY LAKE DR, ANCHORAGE, AK 99508-4639
(907) 563-8876
Mailing address
PO BOX 196400, ANCHORAGE, AK 99519-6400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1652
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT3166
—
AK
Enumeration date
04/10/2006
Last updated
07/08/2007
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