Individual
MS. LAUREN JEANETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
338 MAIN ST, KETCHIKAN, AK 99901-6430
(907) 247-2473
Mailing address
2417 TONGASS AVE # 111-271, KETCHIKAN, AK 99901-5900
(907) 247-2473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
102770
AK
Other
Enumeration date
11/20/2015
Last updated
01/15/2025
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