Organization
DENALI MESA CORPORATION
Active
Organization
DENALI MESA CORPORATION
Active
Other names
Frontier Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK KINNEBREW (VICE PRESIDENT)
(907) 258-8618
Entity
Organization
Contact information
Practice address
108 E CORRAL AVE, SOLDOTNA, AK 99669-7524
(907) 260-5893
Mailing address
907 E DOWLING RD, STE 26, ANCHORAGE, AK 99518-1424
(907) 258-8618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193978503
DEPT OF LABOR
AK
05
—
TC6851
—
AK
Enumeration date
03/08/2007
Last updated
07/17/2008
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