Individual
MEREDITH AUTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OCS, FAAOMPT
Contact information
Practice address
6200 LAKE OTIS PKWY, STE 104, ANCHORAGE, AK 99507-2033
(907) 770-6693
(907) 770-6697
Mailing address
6200 LAKE OTIS PKWY, STE 104, ANCHORAGE, AK 99507-2033
(907) 770-6693
(907) 770-6697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AK1049
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT4233
—
AK
Enumeration date
03/07/2008
Last updated
03/07/2008
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