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Individual

MRS. CARLA LOZANO VIZZERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
642 S ALASKA ST, #209, PALMER, AK 99645-6342
(907) 746-0722
(907) 746-0732
Mailing address
642 S ALASKA ST, #209, PALMER, AK 99645-6342
(907) 746-0722
(907) 746-0732

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1584
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PT7391
AK
Enumeration date
02/21/2007
Last updated
09/14/2011
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