Individual
JULIET M TARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 LAKE OTIS PKWY, ANCHORAGE, AK 99508-4141
(907) 743-3310
Mailing address
4800 RIDGE TOP CIR, ANCHORAGE, AK 99508-3793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
737
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT1090
—
AK
Enumeration date
08/21/2006
Last updated
06/28/2018
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