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Individual

CHANEL IRENE MARIE EBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
24413 W WILLOW CREEK PKWY, WILLOW, AK 99688
(785) 456-4582
Mailing address
PO BOX 924, WILLOW, AK 99688-0924
(785) 456-4582

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
188490
AK

Other

Enumeration date
07/15/2013
Last updated
06/02/2025
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