| NPI | 1619090065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FAGUNDES Executive Director 907-586-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK TC7127) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AK TC7127) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-07-10 |