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ASPEN PHYSICAL THERAPY PC
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1174729123
Organizational Registrant:Organization Name: ASPEN PHYSICAL THERAPY PC
Organization is not Subpart
Authorized Official: THOMAS T WELLS OWNER 907--26-22596
Organization is not Subpart
Authorized Official: THOMAS T WELLS OWNER 907--26-22596
Location and contact information for practice:
221 W. MARYDALE AVE SOLDOTNA, AK 99669-7540 US
Tel: 907-262-2596 Fax: --
Tel: 907-262-2596 Fax: --
Contact information for business:
PO BOX 3763 SOLDOTNA, AK 99669-3763 US
Tel: 907-262-2596 Fax: --
Tel: 907-262-2596 Fax: --
Registration Information:
NPI: 1174729123
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | AK | 695 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
