Individual
MS. LISA P ILLG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
809 S CHUGACH ST, SUITE 1, PALMER, AK 99645-6605
(907) 746-4373
(907) 746-4376
Mailing address
809 S CHUGACH ST, SUITE 1, PALMER, AK 99645-6605
(907) 746-4373
(907) 746-4376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1290
AK
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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