Organization Name: | NORTH POLE PHYSICAL THERAPY, INC |
NPI Number: | 1639238694 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIANA B AMENT (OWNER, PHYSICAL THERAPIST) |
Mailing Address: | 157 Lewis St North Pole |
State: | AK US |
Postal Code: | 997057699 |
Phone Number: | 9074884978 |
Fax Number: | 9074884976 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 10/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |