| NPI | 1801129994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTENE G GRAVLEY Owner 907-336-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 285) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 239) |
| 235Z00000X Speech-Language Pathologist, (Licence: AK 90) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |