Individual
JOEL EVERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2704 E TUDOR RD, ANCHORAGE, AK 99507-1136
(907) 561-5006
(907) 562-2398
Mailing address
2704 E TUDOR RD, ANCHORAGE, AK 99507-1136
(907) 561-5006
(907) 562-2398
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1665
AK
2251X0800X
Orthopedic Physical Therapist
1665
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1665
LICENSE #
AK
Enumeration date
08/25/2006
Last updated
04/04/2008
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