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Organization

PROGRESSIVE PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARAH ADRIENNE SWEENEY PT (OWNER)
(907) 748-0022
Entity
Organization

Contact information

Practice address
718 K ST STE D, ANCHORAGE, AK 99501-3318
(907) 748-0022
(907) 277-0022
Mailing address
718 K ST STE D, ANCHORAGE, AK 99501-3318
(907) 748-0022
(907) 277-0022

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1529
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1134246945
GROUP PROVIDER
AK
01
1639466378
GROUP PROVIDER
AK
05
1713211
AK
01
1740594183
GROUP PROVIDER
AK
01
1881981546
GROUP PROVIDER
AK
Enumeration date
04/29/2010
Last updated
06/26/2024
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