Individual
FREDERICK VICTOR LIEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4160 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5901
(907) 729-8624
Mailing address
4201 TUDOR CENTRE DR, #320, ANCHORAGE, AK 99508-5904
(907) 729-8624
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003580
KY
225100000X
Physical Therapist
3580
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0110
—
AK
Enumeration date
07/08/2010
Last updated
12/20/2012
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