Individual
MS. ALISA CHRISTINE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4001 LAKE OTIS PKWY STE 201, ANCHORAGE, AK 99508-5200
(907) 569-5557
(907) 569-5562
Mailing address
4001 LAKE OTIS PKWY STE 201, ANCHORAGE, AK 99508-5200
(907) 569-5557
(907) 569-5562
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2182
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
613517700
WORKERS COMP
AK
05
—
MPG0133
—
AK
Enumeration date
07/27/2010
Last updated
10/07/2010
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