Individual
MADELEINE MAE HUAN PRONOVOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
235 E 9TH AVE, ANCHORAGE, AK 99501-7501
(907) 230-1952
Mailing address
740 WASHINGTON ST, BROOKLINE, MA 02446-2109
(617) 755-9058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
205138
AK
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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