Organization
VIBRANT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YICHEN CHUNG PT (OWNER)
(907) 360-3648
Entity
Organization
Contact information
Practice address
9500 CANTON LOOP, ANCHORAGE, AK 99515-1429
(907) 360-3648
Mailing address
9500 CANTON LOOP, ANCHORAGE, AK 99515-1429
(907) 360-3648
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
106666
AK
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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