Provider Demographics
NPI:1447482328
Name:ALBRECHT, ANNIE M (DPT)
Entity type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:M
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2841 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-9646
Mailing Address - Country:US
Mailing Address - Phone:907-789-4165
Mailing Address - Fax:
Practice Address - Street 1:2841 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-9646
Practice Address - Country:US
Practice Address - Phone:907-789-4165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-11
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2081225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist