Individual
NATHALIE CROTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3455 REWAK DR, STE 106, FAIRBANKS, AK 99709-5003
(907) 457-5322
Mailing address
2573 STONEMAN LN, NORTH POLE, AK 99705-5631
(907) 488-3613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1078
LICENSE #
AK
Enumeration date
08/29/2006
Last updated
06/01/2012
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