Individual
JOAN STASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 LAKE OTIS PKWY, ANCHORAGE, AK 99508-4141
(907) 743-3310
Mailing address
12101 JEROME ST, ANCHORAGE, AK 99516-2142
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
813
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0813
—
AK
Enumeration date
08/29/2006
Last updated
07/09/2007
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