Organization
DYNAMIC KIDS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LYN HARRIS PT (PHYSICAL THERAPIST)
(907) 632-3595
Entity
Organization
Contact information
Practice address
4325 LAUREL ST STE 102, ANCHORAGE, AK 99508-5364
(907) 632-3595
Mailing address
3229 WILEY POST LOOP, ANCHORAGE, AK 99517-2322
(907) 632-3595
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 1447
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0126
—
AK
Enumeration date
11/19/2008
Last updated
11/19/2008
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