Individual
MIRA M SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
35249 KENAI SPUR HWY, STE C, SOLDOTNA, AK 99669-7623
(907) 420-0836
Mailing address
35249 KENAI SPUR HWY, SUITE C, SOLDOTNA, AK 99669-7623
(907) 420-0836
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
102766
AK
Other
Enumeration date
06/10/2011
Last updated
02/17/2017
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