Organization
HOME TOWN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY SCOTT MILLES (PHYSICAL THERAPIST)
(907) 457-7678
Entity
Organization
Contact information
Practice address
2310 PEGER RD STE 101, FAIRBANKS, AK 99709-5315
(907) 457-7678
(907) 457-7677
Mailing address
2310 PEGER RD STE 101, FAIRBANKS, AK 99709-5315
(907) 457-7678
(907) 457-7677
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
307473
AK
Other
Enumeration date
06/24/2006
Last updated
02/10/2011
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