Individual
LAURA J MACCHELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
701 SESAME ST STE 101, ANCHORAGE, AK 99503-6647
(907) 561-2260
(907) 561-0448
Mailing address
1614 HIDDEN LN, ANCHORAGE, AK 99501-4918
(907) 561-2260
(907) 561-0448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AA798
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0949
—
AK
Enumeration date
08/19/2006
Last updated
07/08/2007
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