NPI | 1154917466 |
---|---|
Entity Type | Organization |
Authorized Contact | VIDYA H OFTEDAL Speech Language Pathologist 907-953-6812 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2020-12-21 |
Last Update Date | 2020-12-21 |