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MEREDITH AUTREY PT, OCS, FAAOMPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1497925200
Individual Registrant: MEREDITH AUTREY PT, OCS, FAAOMPT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
6200 LAKE OTIS PKWY STE 104 ANCHORAGE, AK 99507-2033 US
Tel: 907-770-6693 Fax: 907-770-6697
Tel: 907-770-6693 Fax: 907-770-6697
Contact information for business:
6200 LAKE OTIS PKWY STE 104 ANCHORAGE, AK 99507-2033 US
Tel: 907-770-6693 Fax: 907-770-6697
Tel: 907-770-6693 Fax: 907-770-6697
Registration Information:
NPI: 1497925200
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | AK | AK1049 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PT4233 | AK | 05 |
