| NPI | 1710193545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA FAULKNER Executive Director 907-714-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-02-24 |