Individual
ELIZABETH L SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 5TH & TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 442-7148
Mailing address
76 SCARBOROUGH AVE, KALISPELL, MT 59901-2745
(907) 442-7148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1273
AK
225100000X
Physical Therapist
594
WA
225100000X
Physical Therapist
639
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT5279
—
AK
Enumeration date
04/23/2007
Last updated
07/09/2007
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