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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