Organization
BIRDLAND AK LLC
Active
Other names
Channel Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TIMI KRISTINE JOHNSON MPT (PRACTICE OWNER, PT)
(907) 419-4210
Entity
Organization
Contact information
Practice address
1601 SALMON CREEK LN, JUNEAU, AK 99801-7867
(907) 419-4210
(907) 313-1403
Mailing address
3200 DOUGLAS HWY, JUNEAU, AK 99801-1918
(303) 810-1638
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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