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Anders Harbord Carlson, PT

Physical Therapist in Fairbanks, AK. Individual provider (NPI-1).

NPI number1164082202
StatusActive
Last updated in NPPESJun 20, 2019

Details

NPI
1164082202
Entity type
Individual (NPI-1)
Name
Anders Harbord Carlson
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2019
Last updated
Jun 20, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist143792AKYes

Practice location

3745 Geist Rd
Fairbanks, AK 99709-3554

Phone 907-456-1112

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Phone 630-296-2223

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