Organization
FORTITUDE, INC
Active
Organization
FORTITUDE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD TAYLOR SMITH STATON DPT (PRESIDENT)
(907) 283-3340
Entity
Organization
Contact information
Practice address
43900 KENAI SPUR HWY UNIT C, KENAI, AK 99611-9708
(907) 283-3340
(907) 283-3349
Mailing address
49066 HEIGHTS LN, KENAI, AK 99611-6112
(907) 290-9973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
01/27/2020
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