Individual
JEFFREY AUGUST LEPAGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T., C.W.S.
Contact information
Practice address
6701 W. BLONDELL ST., WASILLA, AK 99654
(907) 357-9755
(907) 357-9499
Mailing address
PO BOX 298658, WASILLA, AK 99629-8658
(907) 357-9755
(907) 357-9499
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1512
AK
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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