Organization
CORE POTENTIAL LLC
Active
Organization
CORE POTENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE BENNETT (OWNER)
(907) 229-3313
Entity
Organization
Contact information
Practice address
615 E 82ND AVE STE B5, ANCHORAGE, AK 99518-3159
(907) 229-3313
Mailing address
615 E 82ND AVE STE B5, ANCHORAGE, AK 99518-3159
(907) 677-4391
(907) 677-4395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
05/06/2025
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