Organization
KPO REHABILITATION AND SPORTS MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS T. WELLS JR. PT (PRESIDENT/PHYSICAL THERAPIST)
(907) 262-2596
Entity
Organization
Contact information
Practice address
221 WEST MARYDALE AVE., SOLDOTNA, AK 99669
(907) 262-2596
(907) 262-2765
Mailing address
221 WEST MARYDALE AVE., SOLDOTNA, AK 99669
(907) 262-2596
(907) 262-2765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0695
AK
Other
Enumeration date
01/23/2008
Last updated
09/04/2013
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