Organization
PAN ALASKA PHYSICAL THERAPY, INC.
Active
Organization
PAN ALASKA PHYSICAL THERAPY, INC.
Active
Other names
Wasilla Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNE K. FOSDICK PTA (OWNER)
(907) 376-7334
Entity
Organization
Contact information
Practice address
3750 E COUNTRY FIELD CIR, SUITE A, WASILLA, AK 99654-6689
(907) 376-7334
(907) 373-1429
Mailing address
3750 E COUNTRY FIELD CIR, SUITE A, WASILLA, AK 99654-6689
(907) 376-7334
(907) 373-1429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
235
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT07162
—
AK
Enumeration date
11/10/2006
Last updated
10/08/2007
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