Individual
CORTLAND REGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 W TUDOR RD, SUITE 10, ANCHORAGE, AK 99503-6649
(907) 677-9112
(907) 677-9121
Mailing address
PO BOX 242131, ANCHORAGE, AK 99524-2131
(907) 677-9112
(907) 677-9121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1380
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1380
LICENSE #
AK
Enumeration date
09/06/2006
Last updated
11/22/2010
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