Individual
REBECCAH JEAN CENTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3455 REWAK DR STE 106, FAIRBANKS, AK 99709-5024
(907) 457-5322
Mailing address
591 SLATER DR, FAIRBANKS, AK 99701-3444
(541) 633-0723
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
133853
AK
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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