Individual
REBECCA ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3455 REWAK DR, FAIRBANKS, AK 99709-5024
(907) 457-5322
Mailing address
625 SHEA ST, FITCHBURG, MA 01420-4889
(978) 870-5271
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
136516
AK
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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