Organization
OUT PATIENT AT HOME PHYSICAL THERAPY LLC
Active
Other names
Julienne Cook-Mayfield DPT, ATC
Organization subpart
No
Provider details
NPI number
Authorized official
JULIENNE COOK MAYFIELD DPT, ATC (OWNER / PHYSICAL THERAPIST)
(631) 786-6403
Entity
Organization
Contact information
Practice address
12820 MISSION CIR, ANCHORAGE, AK 99516-2760
(907) 250-3932
Mailing address
12820 MISSION CIR, ANCHORAGE, AK 99516-2760
(907) 250-3932
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1696774
—
AK
Enumeration date
09/18/2019
Last updated
09/18/2019
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