| NPI | 1568769289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL C. ROGERS Manager 907-345-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 951315) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |