| NPI | 1386794527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI ELLEN CLIFFORD Manager Secretary 907-350-3840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK STATEOF ALASKA#479) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |