Organization
FAIRBANKS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S GORDON PT (OWNER)
(907) 479-0623
Entity
Organization
Contact information
Practice address
1755 WESTWOOD WAY, SUITE 7, FAIRBANKS, AK 99709-4064
(907) 479-0623
(888) 761-9303
Mailing address
315 ILLINOIS ST, FAIRBANKS, AK 99701-2910
(907) 456-7767
(907) 456-8050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1784
AK
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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