Organization
PAN ALASKA PHYSICAL THERAPY
Active
Other names
Eagle Center Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE FOSDICK PTA (OWNER)
19076965678
Entity
Organization
Contact information
Practice address
11470 BUSINESS BLVD STE 200, EAGLE RIVER, AK 99577-7780
(907) 696-5678
(907) 696-2248
Mailing address
11470 BUSINESS BLVD STE 200, EAGLE RIVER, AK 99577-7780
(907) 696-5678
(907) 696-2248
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2125
AK
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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