Individual
SHANE OMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
304 W EVERGREEN AVE STE 101, PALMER, AK 99645-6970
(907) 745-8686
Mailing address
512 GOLD KEY LN, PALMER, AK 99645-6178
(907) 350-6907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
194449
AK
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/12/2021
Last updated
11/16/2022
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