Organization
DENALI MESA CORPORATION
Active
Other names
Frontier Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK KINNEBREW (OPERATIONS MANAGER)
(907) 258-8618
Entity
Organization
Contact information
Practice address
907 E DOWLING RD, STE 26, ANCHORAGE, AK 99518-1424
(907) 258-8618
(907) 563-9291
Mailing address
907 E DOWLING RD STE 26, ANCHORAGE, AK 99518-1427
(907) 258-8618
(907) 563-9291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
AK
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193978501
DEPARTMENT OF LABOR
AK
01
—
193978502
DEPT OF LABOR
AK
01
—
193978503
DEPARTMENT OF LABOR
AK
05
—
OT1479
—
AK
05
—
PT1442
—
AK
05
—
PT95101
—
AK
05
—
TC6851
—
AK
05
—
TC6852
—
AK
Enumeration date
01/03/2007
Last updated
07/16/2008
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