| NPI | 1407129745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY JOHNSTON Owner 907-317-9349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AK 2045) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |