Individual
JOAN LIPTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
561 S DENALI ST, STE F, PALMER, AK 99645-6439
(907) 745-8686
Mailing address
2298 S BUTTE DR, PALMER, AK 99645-8555
(907) 745-7889
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1479
LICENSE #
AK
Enumeration date
08/31/2006
Last updated
07/08/2007
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