Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 9462 | CT |
N | 2251N0400X | Physical Therapist - Neurology | 2671 | AK |
N | 2251P0200X | Physical Therapist - Pediatrics | 2671 | AK |
N | 2251X0800X | Physical Therapist - Orthopedic | 2671 | AK |
NPI | 1093142192 |
---|---|
Provider Name | Amy E Forbes |
First Address | Anchorage, AK 99518-2283 |
Second Address | Anchorage, AK 99518-2283 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2013 |
Last Update Date | 05/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1597211 | (05) | AK |