Johnna Renee Underwood PT

NPI 1053669853 - Physical Therapist - 225100000X

NPI Details
NPI 1053669853
Gender Female
Enumeration Date 08/27/2012
Last Updated 08/27/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
459 FARMERS LOOP RD
FAIRBANKS AK, 99712-1406, US
Phone (907) 550-0587
Fax
Business Location
1600 COLLEGE RD
FAIRBANKS AK, 99709-4173, US
Phone (907) 457-3711
Fax
Toxanomy
Taxonomy Code 225100000X
License State Alaska
License Number 613
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According to our database, Mrs. Johnna Renee Underwood PT NPI is 1053669853, taxonomy code is 225100000X and license number is 613, license state is located at Alaska. Johnna Renee Underwood PT physically located at 459 Farmers Loop Rd, Fairbanks AK, 99712-1406. NPI Number Johnna Renee Underwood PT has the Individual type.

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1053669853 NPI number is provided on an as is basis without warranty of any kind. 1053669853 is maintained by the National Plan & Provider Enumeration System. The contents of Johnna Renee Underwood PT are for informational purposes only.