Individual
ALLEN MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
15971 STERLING HWY, STE A, NINILCHIK, AK 99639
(907) 420-0836
(907) 420-0837
Mailing address
10470 KATRINA BLVD, NINILCHIK, AK 99639, UNIT 748, NINILCHIK, AK 99639
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
246688
AK
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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