Provider Demographics
NPI:1619310687
Name:ARCTIC THERAPY AND REHAB BARROW, LLC
Entity Type:Organization
Organization Name:ARCTIC THERAPY AND REHAB BARROW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER / ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-244-3268
Mailing Address - Street 1:4000 W DIMOND BLVD
Mailing Address - Street 2:STE 4
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99502-1401
Mailing Address - Country:US
Mailing Address - Phone:907-243-0660
Mailing Address - Fax:907-248-5481
Practice Address - Street 1:1655 OKPIK STREET
Practice Address - Street 2:
Practice Address - City:BARROW
Practice Address - State:AK
Practice Address - Zip Code:99723
Practice Address - Country:US
Practice Address - Phone:907-243-0660
Practice Address - Fax:907-248-5481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty