| NPI | 1780331686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SICO LY Owner 907-268-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-04-21 |