Individual
AISHA CORREA WILBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
544 4TH AVE STE 102, FAIRBANKS, AK 99701-4714
(907) 456-5990
(907) 374-8023
Mailing address
544 4TH AVE STE 102, FAIRBANKS, AK 99701-4714
(907) 456-5990
(907) 374-8023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2108
AK
2251X0800X
Orthopedic Physical Therapist
2108
AK
2251X0800X
Orthopedic Physical Therapist
8225
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029463
—
AK
Enumeration date
01/05/2009
Last updated
06/19/2024
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