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Individual

JULIENNE MARIE COOK MAYFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
12820 MISSION CIR, ANCHORAGE, AK 99516-2760
(907) 250-3932
(907) 802-4529
Mailing address
12820 MISSION CIR, ANCHORAGE, AK 99516-2760
(907) 250-3932
(907) 802-4529

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070015997
IL
225100000X
Physical Therapist
Primary
1923
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1696774
AK
01
EIN
843080609
Enumeration date
06/01/2007
Last updated
05/29/2023
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