Organization
NOR-ALASKA PHYSICAL THERAPY, LLC
Active
Other names
Eagle Center Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BOERRE H BREVIK PT (OWNER)
(907) 696-5678
Entity
Organization
Contact information
Practice address
11470 BUSINESS BLVD, SUITE 200, EAGLE RIVER, AK 99577-7780
(907) 696-5678
(907) 696-2248
Mailing address
11470 BUSINESS BLVD, SUITE 200, EAGLE RIVER, AK 99577-7780
(907) 696-5678
(907) 696-2248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1048322
AK
Other
Enumeration date
02/09/2017
Last updated
02/24/2017
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