Organization
CHUGACH PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEZLIE ROBINSON (OFFICE/BILLING MANAGER)
(907) 743-3310
Entity
Organization
Contact information
Practice address
2740 LAKE OTIS PKWY, ANCHORAGE, AK 99508-4141
(907) 743-3310
(907) 272-8164
Mailing address
2740 LAKE OTIS PKWY, ANCHORAGE, AK 99508-4141
(907) 743-3310
(907) 272-8164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031318
—
AK
05
—
1691679
—
AK
01
—
A1344
PREMERA BLUE CROSS
—
05
—
TC3984
—
AK
Enumeration date
06/09/2006
Last updated
10/01/2019
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