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Organization

MARY POMEROY, LPT

Active
Other names
Children's Physical Therapy Services
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH EUGENE BEATY (BILLING AGENT)
(907) 770-2301
Entity
Organization

Contact information

Practice address
4325 LAUREL ST, SUITE 100, ANCHORAGE, AK 99508-5364
(907) 376-8280
(907) 376-0293
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2301
(907) 770-2325

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
72248
AK

Other

Enumeration date
03/12/2009
Last updated
10/21/2010
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