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Organization

THERAPIST CENTRAL, INC.

Active
Other names
Seawolf Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KORRE LEIGH PIEPER PT (PRESIDENT)
(907) 677-9653
Entity
Organization

Contact information

Practice address
12201 INDUSTRY WAY STE 4, ANCHORAGE, AK 99515-4316
(907) 677-9653
(907) 677-9657
Mailing address
12201 INDUSTRY WAY STE 4, ANCHORAGE, AK 99515-4316
(907) 677-9653
(907) 677-9657

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
261QP2000X
Physical Therapy Clinic/Center
Primary
2030
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1694215
AK
Enumeration date
10/09/2007
Last updated
08/09/2021
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