Individual
NICOLE T TANIGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 729-1263
Mailing address
PO BOX 143096, ANCHORAGE, AK 99514-3096
(907) 729-1263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1341
AK
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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