Organization
M2B HOLDINGS
Active
Other names
Arctic Raven Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA YVONNE WONG (PHYSICAL THERAPIST & OWNER)
(808) 276-4236
Entity
Organization
Contact information
Practice address
11401 OLD GLENN HWY, #110, EAGLE RIVER, AK 99577-7747
(808) 276-4236
Mailing address
11401 OLD GLENN HWY, #110, EAGLE RIVER, AK 99577-7747
(808) 276-4236
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2365
AK
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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