Provider Demographics
NPI:1386720779
Name:POIRIER, DENNIS L (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:L
Last Name:POIRIER
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNITED PHYSICAL THERAPY
Mailing Address - Street 2:701 SESAME STREET SUITE 101
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503
Mailing Address - Country:US
Mailing Address - Phone:907-561-2260
Mailing Address - Fax:907-561-0448
Practice Address - Street 1:UNITED PHYSICAL THERAPY
Practice Address - Street 2:701 SESAME STREET SUITE 101
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503
Practice Address - Country:US
Practice Address - Phone:907-561-2260
Practice Address - Fax:907-561-0448
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2582251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1029709Medicaid
AK1029709Medicaid