Individual
DAVID DISSELBRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, JSCC
Contact information
Practice address
5185 W 80TH AVE, ANCHORAGE, AK 99502-4114
(907) 351-2052
Mailing address
5185 W 80TH AVE, ANCHORAGE, AK 99502-4114
(907) 351-2052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AK1191
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT4016
—
AK
Enumeration date
03/07/2008
Last updated
03/17/2018
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