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Contact Information

WANDA L WARREN, PT, LAC,MHS,DIPL.AC.
6407 BRAYTON DR STE 203A
ANCHORAGE, AK99507-2149
 Phone: 907-202-9804
 Fax: 888-957-1346
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for WANDA L WARREN · (Female)

NPI # 1326415969
Status Active
Credentials PT, LAC,MHS,DIPL.AC.
Entity Individual
Enumeration date 08/31/2015
Last updated 08/25/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 1612
  • AK License # 88
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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