Individual
SARAH OPDYCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1917 ABBOTT RD STE 200, ANCHORAGE, AK 99507
(907) 279-4266
Mailing address
1917 ABBOTT RD STE 200, ANCHORAGE, AK 99507-3449
(907) 279-4266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
142340
AK
225100000X
Physical Therapist
5501018392
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142340
LICENSE NUMBER FOR ALASKA
AK
01
—
5501018392
LICENSE NUMBER
MI
Enumeration date
08/29/2017
Last updated
11/25/2019
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