Organization
DENALI MESA CORPORATION
Active
Parent organization
DENALI MESA CORPORATION
Other names
Frontier Therapy Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENALI MESA CORPORATION
Authorized official
MR. PATRICK KINNEBREW (OPERATIONS MANAGER)
(907) 258-8618
Entity
Organization
Contact information
Practice address
9109 MENDENHALL MALL RD, STE 5K, JUNEAU, AK 99801-7113
(907) 209-8571
(907) 586-6736
Mailing address
907 E DOWLING RD, STE 26, ANCHORAGE, AK 99518-1424
(907) 258-8618
(907) 563-9291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT06931
—
AK
Enumeration date
05/15/2008
Last updated
05/15/2008
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