| NPI | 1013085539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MCDANELD O PT Ician 907-376-9173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AK 172) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-06-19 |