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Organization

REACH, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD FAGUNDES (EXECUTIVE DIRECTOR)
(907) 586-8228
Entity
Organization

Contact information

Practice address
213 THIRD STREET, JUNEAU, AK 99801
(907) 586-8228
(907) 586-8226
Mailing address
213 THIRD STREET, JUNEAU, AK 99801
(907) 586-8228
(907) 586-8226

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
TC7127
AK
225X00000X
Occupational Therapist
Primary
TC7127
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TC7127
AK
Enumeration date
04/09/2007
Last updated
07/10/2008
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