Individual
MR. GREGORY DEBNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
260 CAVIAR ST, A, KENAI, AK 99611-7738
(907) 283-9016
Mailing address
260 CAVIAR ST, A, KENAI, AK 99611-7738
(907) 283-9016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1221
AK
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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