HOMER PHYSICAL THERAPY, LLC
Restorative Service Providers at Pennock St, Halibut Cove, AK

License number
Alaska 1134
Category
Restorative Service Providers
Type
Orthopedic
Owner
Name: SALLIE W REDISKE MPT
Title: OWNER
Phone: (907) 235-3410
Address
Address
4141 Pennock St, Halibut Cove, AK 99603
National Provider ID: 1750499224
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HOMER PHYSICAL THERAPY, LLC

4141 Pennock St, Homer, AK 99603

Industry:
Health Practitioner's Office
Registration:
Apr 4, 2003
State ID:
79608D
Business type:
Limited Liability Company
Expiration:
Perpetual
Office Managers:
Sallie W Rediske (Member),Saille Rediske (Owner, Principal),Deena Benson (Office Manager)

Restorative Service Providers licenses in Alaska