Organization
ECLECTIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CROIX PT (PHYSICAL THERAPIST)
(907) 929-3935
Entity
Organization
Contact information
Practice address
3102 WILLOW ST # 12C, ANCHORAGE, AK 99517-1958
(907) 929-3935
Mailing address
3102 WILLOW ST # 12C, ANCHORAGE, AK 99517-1958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
391
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306954284
INDIVIDUAL NPI
AK
Enumeration date
06/02/2010
Last updated
06/02/2010
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