Individual
MARY ANN PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20345 NEW ENGLAND DR, EAGLE RIVER, AK 99577-7114
(907) 229-1230
(907) 694-4222
Mailing address
20345 NEW ENGLAND DR, EAGLE RIVER, AK 99577-7114
(907) 694-4220
(907) 694-4222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98
LICENSE #
AK
Enumeration date
08/30/2006
Last updated
06/15/2010
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