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Individual

DANIEL OUELLETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 644-5311
Mailing address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PHYP2839
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1695987
AK
Enumeration date
06/26/2019
Last updated
10/29/2025
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