Organization
COMMUNITY PHYSICAL THERAPY, INC.
Active
Other names
Mary Ann Ghosn, PT
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN GHOSN PT (OWNER)
(907) 231-5631
Entity
Organization
Contact information
Practice address
2804 W NORTHERN LIGHTS BLVD STE 190, ANCHORAGE, AK 99517-3300
(907) 231-5631
(907) 929-3931
Mailing address
PO BOX 91705, ANCHORAGE, AK 99509-1705
(907) 231-5631
(907) 929-3931
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029504
—
AK
Enumeration date
06/11/2019
Last updated
12/20/2021
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