| NPI | 1538597984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA J RUSSELL Owner/Operator 907-743-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 2553) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2024-03-14 |