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Individual

MRS. HEATHER WOODS AGUSTINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4076 NEELY RD, FT WAINWRIGHT, AK 99703
(907) 361-5237
Mailing address
4076 NEELY RD, FT WAINWRIGHT, AK 99703
(907) 361-5237

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
928
AK
225100000X
Physical Therapist
PT20087
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PT3868
AK
Enumeration date
01/06/2006
Last updated
05/14/2026
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