Individual
BRENDA RENEE WOLVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
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
225100000X
Physical Therapist
Primary
1219
AK
Other
Enumeration date
01/05/2006
Last updated
02/17/2011
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