| NPI | 1275937013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA L GAGNON Member, Occupational Therapist 907-756-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AK 2854) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |