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Organization

WILLOW PHYSICAL THERAPY, LIMITED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AISHA WILBUR (OWNER)
(907) 456-5990
Entity
Organization

Contact information

Practice address
544 4TH AVE # 102, FAIRBANKS, AK 99701-4714
(907) 456-5990
(907) 374-8023
Mailing address
544 4TH AVE STE 102, FAIRBANKS, AK 99701-4714
(907) 456-5990
(907) 374-8023

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
183875
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021170
AK
Enumeration date
07/11/2006
Last updated
06/19/2024
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