Doctor Name: | CAROLYN L DWIGHT |
NPI Number: | 1033224696 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 64 |
Business Practice Address: | 1700 E Bogard Rd Bldg B Suite 203 Wasilla, AK - 996546563 |
Business Phone Number: | 9073764325 |
Business Fax Number: | |
Mailing Address: | 1700 E Bogard Rd Bldg B, Suite 203 WASILLA |
State: | AK |
Postal Code: | 996546563 |
Phone Number: | 9073764325 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 10/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 64 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |